| NPI | 1841331469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI L BIRCH Corporate Secretary 208-522-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP-841) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-01-10 |