NPI age
16 years
Enumerated 2009-09-22
Across 598 active optometrist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1659605848 | |
| 05 (WA) | 2071233 |
Solo or small practice. No other active providers share this practice address in NPPES.
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