| NPI | 1104316785 |
|---|---|
| Doing Business As | PRIEST RIVER EYE CARE |
| Entity Type | Organization |
| Authorized Contact | NATHANEAL HARRELL Owner/President 208-265-7965 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2023-03-09 |