NPI age
19 years
Enumerated 2007-01-29
Across 598 active optometrist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1592894 | MEDICARE GROUP |
| 01 (HI) | V9709 | BLUE CROSS OF IDAHO |
| 01 (ID) | 1592883 | MEDICARE |
| 01 (ID) | 000010015493 | REGENCE BLUE SHIELD OF ID |
| 05 (ID) | 804004300 |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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