| |
355 E. Neider Avenue, Coeur D'alene, ID 83815 | |
(208) 676-7356 | |
(207) 676-7384 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 355 E. Neider Avenue, Coeur D'alene, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447496427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 2592, Hayden, ID 83835 Ph: (208) 676-7356 | 355 E. Neider Avenue, Coeur D'alene, ID 83815 Ph: (208) 676-7356 |