EDWARD FORD
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1295746840- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2139 VILLAGE PARK AVE STE 100, TWIN FALLS, ID, 83301
- Phone
- (208) 736-2020
- Fax
- (208) 734-8393
Specialties & Taxonomies
Optometrist
License: GA #1869
Optometrist
Primary License: ID #ODP-100217