| NPI | 1780790154 |
|---|---|
| Doing Business As | PAYETTE FAMILY EYECARE |
| Entity Type | Organization |
| Authorized Contact | DAN C. THIEME Owner 208-642-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID 0-901) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-12-11 |