IDAHO VISION DEVELOPMENT CENTER PLLC

AMMON, ID
NPI1952963399
Entity TypeOrganization
Authorized ContactDANIEL NIELSON
Optometrist
208-227-8822
Organization Subpart ?No
Primary Taxonomy152WV0400X Optometrist, Vision Therapy
Enumeration Date2019-07-06
Last Update Date2019-07-06
Business Address
IDAHO VISION DEVELOPMENT CENTER PLLC
1536 MIDWAY DR
AMMON, ID 83406-6912
Phone number: 208-227-8822
Mailing Address
IDAHO VISION DEVELOPMENT CENTER PLLC
1536 MIDWAY DR
AMMON, ID 83406-6912
Phone number: 208-227-8822
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