NPI age
18 years
Enumerated 2007-06-01
Across 122 active ophthalmology providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 000010162794 | BLUE SHIELD |
| 01 | 1518003516 | NORTH IDAHO CATARACT & LA |
| 05 (ID) | 807806900 | |
| 01 | 1100054 | MEDICARE |
| 01 | 76960 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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