| 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 |