| NPI | 1346383957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL E. IWASA Optomethric Physician 208-452-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID odp-856) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2023-07-11 |