DAVID JOHN ANTONIE

BOISE, ID
NPI1215071246
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP 896)
Enumeration Date2007-02-15
Last Update Date2007-07-08
Business Address
Dr. DAVID JOHN ANTONIE O.D.
460 N MILWAUKEE ST SEARS OPTICAL
BOISE, ID 83704-9122
Phone number: 208-375-3030
Mailing Address
Dr. DAVID JOHN ANTONIE O.D.
2593 N DEVLIN AVE
MERIDIAN, ID 83642-7313
Phone number: 208-863-5409