ASPEN RIDGE EYE CARE, PLLC

AMMON, ID
NPI1023223187
Entity TypeOrganization
Authorized ContactJERRY D CARLSON
Owner
208-528-6900
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-100104)
Enumeration Date2007-05-11
Last Update Date2013-05-01
Business Address
ASPEN RIDGE EYE CARE, PLLC
3456 E 17TH ST SUITE 150
AMMON, ID 83406-6757
Phone number: 208-528-6900
Mailing Address
ASPEN RIDGE EYE CARE, PLLC
3456 E 17TH ST SUITE 150
AMMON, ID 83406-6757
Phone number: 208-528-6900