NPI | 1598863029 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIRLENE TRANMER Corporate Secretary 208-734-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP100141) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2012-05-31 |