NPI age
19 years
Enumerated 2006-09-14
Across 598 active optometrist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002622900 | |
| 01 (ID) | 0969700001 | DMERC |
| 01 | 000010015363 | REGENCE BLUE SHIELD OF ID |
| 01 (ID) | 410039268 | RAILROAD MEDICARE |
| 01 | V2811 | BLUE CROSS OF IDAHO |
Solo or small practice. No other active providers share this practice address in NPPES.
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