| NPI | 1518003516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEDE KAREN SINES Administrator 208-667-2531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2010-07-06 |