Search

Mr. WILLIAM THOMAS BLACK -- OD

Individual Provider (NPI-1) Active

Optometrist

Provider Information

NPI Number
1063591162
Provider Type
Individual Provider (NPI-1)
Credentials
OD
Status
Active

Contact & Location

Address
420 E ELM ST, CALDWELL, ID, 836054846
Phone
(208) 459-2020
Fax
(208) 459-2034

Specialties & Taxonomies

Optometrist Primary License: ID #ID0857

All Addresses

MAILING

420 E ELM ST

CALDWELL, ID, 836054846

(208) 459-2020

LOCATION

420 E ELM ST

CALDWELL, ID, 836054846

(208) 459-2020