| NPI | 1568298768 |
|---|---|
| Doing Business As | EYE PROS |
| Entity Type | Organization |
| Authorized Contact | LAVAR KOFOED Owner/ Optometrist 208-447-9965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-11-06 |