| NPI | 1801830666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN HATCH Partner 208-356-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: ID ODP-100403) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2017-08-30 |