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1396361358
EYEDAHO OPTOMETRIC LLC
IDAHO FALLS, ID
NPI
1396361358
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Entity Type
Organization
Authorized Contact
TREVOR DICKSON
Owner
208-709-5371
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2020-06-24
Last Update Date
2020-06-24
Business Address
EYEDAHO OPTOMETRIC LLC
500 S UTAH AVE
IDAHO FALLS, ID 83402-3305
Phone number: 208-709-5371
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Mailing Address
EYEDAHO OPTOMETRIC LLC
2951 STONEWOOD CIR
AMMON, ID 83406-8123
Phone number: 208-709-5371
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