| NPI | 1093946097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODGER DEAN ROBERTSON O PT Ometric Physician 208-882-2932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP-552) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2012-01-13 |