NPI age
10 years
Enumerated 2015-05-25
Across 598 active optometrist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1497134399 | |
| 05 (WA) | 2064914 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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