NPI age
19 years
Enumerated 2007-03-20
Across 598 active optometrist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010015348 | BLUE SHIELD IDAHO |
| 01 (ID) | V7268 | BLUE CROSS IDAHO |
| 01 (ID) | 0587110001 | DMERC |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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