| 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 |