| NPI | 1215309950 |
|---|---|
| Former Legal Business Name | JEROME FAMILY EYECARE PC |
| Entity Type | Organization |
| Authorized Contact | PAUL BINGHAM President 208-280-9762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP 100-277) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2016-10-11 |