Miles Poole, OD

NPI #1023764040 in Eagle, Idaho

Provider Information

NPI Number: 1023764040
Entity Type: Individual
Name: Miles Poole, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Feb 28, 2022
Last Updated: Feb 28, 2022

Practice Location

Address: 225 S LINDER RD APT A305
City: Eagle
State: Idaho
ZIP Code: 83616-4421
Phone: (208) 514-9315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Optometrist	152W00000X	Primary

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