NPI | 1972525947 |
---|---|
Entity Type | Organization |
Authorized Contact | RENEE ROBLING Administrator 208-498-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2006-07-25 |
Last Update Date | 2008-07-21 |