Aspen Ridge Eye Care, Pllc

NPI #1023223187 in Ammon, Idaho

Provider Information

NPI Number: 1023223187
Entity Type: Organization
Organization Name: Aspen Ridge Eye Care, Pllc
Primary Specialty: Optometrist
Enumeration Date: May 11, 2007
Last Updated: May 1, 2013

Practice Location

Address: 3456 E 17TH ST
Address 2: SUITE 150
City: Ammon
State: Idaho
ZIP Code: 83406-6757
Phone: (208) 528-6900

Authorized Official

Name: DR. JERRY D CARLSON, O.D.
Title: OWNER
Phone: (208) 528-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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