NPI age
20 years
Enumerated 2005-12-28
Across 598 active optometrist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | 03118 | REGENCE OF WA |
| 01 (WA) | 0078676 | DEPT OF LABOR & INDUSTRIE |
| 05 (WA) | 2022267 | |
| 01 (WA) | 410040896 | RAILROAD MEDICARE |
| 01 (WA) | 431510001 | GROUP HEALTH |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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