STATE OF IDAHO
Organization (NPI-2)
Active
Optometrist
Provider Information
- NPI Number
1538285481- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1660 11TH AVE N, NAMPA, ID, 836875000
- Phone
- (208) 442-2812
- Fax
- (208) 467-5978
Specialties & Taxonomies
Optometrist
Primary