| NPI | 1851624019 |
|---|---|
| Doing Business As | IDAHO EYE PROS |
| Doing Business As | EYE PROS |
| Entity Type | Organization |
| Authorized Contact | LAVAR W KOFOED President 208-378-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID 972) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2020-02-04 |