NPI | 1881363760 |
---|---|
Doing Business As | TREASURE VALLEY OPTOMETRY |
Entity Type | Organization |
Authorized Contact | RUSSELL LAMAR GRAY Optometrist 208-871-2936 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2021-09-13 |
Last Update Date | 2024-12-12 |