| NPI | 1457418253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP GILBERT CROMWELL President 208-852-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP-0607) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-02-05 |