| NPI | 1558752204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SCOTT RITTER Optometrist / Owner 208-743-1761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP100316) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |