CLEARWATER VALLEY OPTICAL

LEWISTON, ID
NPI1457544306
Entity TypeOrganization
Authorized ContactEUGENE M BALDECK
Physician/Owner
208-743-2241
Organization Subpart ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: ID  M-2629)
Enumeration Date2007-08-23
Last Update Date2007-08-23
Business Address
CLEARWATER VALLEY OPTICAL
2214 VINEYARD AVE
LEWISTON, ID 83501-6352
Phone number: 208-743-2241
Mailing Address
CLEARWATER VALLEY OPTICAL
2214 VINEYARD AVE
LEWISTON, ID 83501-6352
Phone number: 208-743-2241
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