| NPI | 1811269350 |
|---|---|
| Doing Business As | EMMETT VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | TRENTON WARNER Owner/President 208-365-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP 100-152) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2014-03-14 |