NPI | 1588840557 |
---|---|
Doing Business As | WILLIAM T BLACK |
Entity Type | Organization |
Authorized Contact | DOUGLAS ADAMS President 208-459-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: ID ID0857) |
Enumeration Date | 2008-01-21 |
Last Update Date | 2024-07-31 |