| |
6132 Highway 2, Priest River, ID 83856 | |
(208) 448-0144 | |
(208) 448-0147 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 6132 Highway 2, Priest River, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104316785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
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514 Oak St Ste A, Sandpoint, ID 83864-1480 Ph: (208) 265-7965 | 6132 Highway 2, Priest River, ID 83856 Ph: (208) 448-0144 |