| Eyedaho Optometric Llc | |
|
500 S Utah Ave Idaho Falls ID 83402-3305 | |
| (208) 709-5371 | |
| Not Available |
| Full Name | Eyedaho Optometric Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 500 S Utah Ave, Idaho Falls, Idaho |
| Authorized Official Name and Position | Trevor Dickson (OWNER) |
| Authorized Official Contact | 2087095371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eyedaho Optometric Llc 2951 Stonewood Cir Ammon ID 83406-8123 Ph: (208) 709-5371 | Eyedaho Optometric Llc 500 S Utah Ave Idaho Falls ID 83402-3305 Ph: (208) 709-5371 |
| NPI Number | 1396361358 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 06/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396361358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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