NPI age
21 years
Enumerated 2005-05-24
Across 598 active optometrist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010015206 | REGENCE BLUE SHIELD |
| 01 (ID) | 34870 | DAVIS VISION |
| 01 (ID) | V024 5 | BLUE CROSS |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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