NPI age
19 years
Enumerated 2006-11-14
Across 598 active optometrist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010140999 | REGENCE OF BLUE SHIELD |
| 01 (ID) | V5962 | BCBS OF IDAHO |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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