NPI age
19 years
Enumerated 2006-10-04
Across 598 active optometrist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | V4734 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010015330 | REGENCE BLUE SHIELD OF ID |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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