NPI age
20 years
Enumerated 2005-05-31
Across 598 active optometrist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (OH) | 000000117385 | ANTHEM BC/BS |
| 01 (OH) | 2201051 | UHC |
| 01 (OH) | 5886015 | AETNA |
| 05 (OH) | 0729082 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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