| NPI | 1750511184 |
|---|---|
| Doing Business As | ALPINE VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN R BROCKBANK Optometrist/Officer 208-883-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID odp100049) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-09-11 |