| NPI | 1467216861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE RICHMAN CEO 208-933-2540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-12-08 |