| NPI | 1285376558 |
|---|---|
| Doing Business As | GRANGE EYE CARE |
| Entity Type | Organization |
| Authorized Contact | LAURA RAE NOLDER Office Manager 208-989-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2023-08-15 |