| NPI | 1891290235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BINGHAM CEO/O PT Ometrist 208-280-9762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: ID ODP-100277) |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |