| NPI | 1013254549 |
|---|---|
| Doing Business As | PARKWAY EYECARE |
| Entity Type | Organization |
| Authorized Contact | KRISTAN C SPARKS Owner 208-357-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP-638) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: ID ODP-100034) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-03-01 |