Bonneville Vision, Pllc

NPI #1093367971 in Idaho Falls, Idaho

Provider Information

NPI Number: 1093367971
Entity Type: Organization
Organization Name: Bonneville Vision, Pllc
Primary Specialty: Optometrist
Enumeration Date: Jul 11, 2019
Last Updated: Jul 11, 2019

Practice Location

Address: 838 S WOODRUFF AVE
City: Idaho Falls
State: Idaho
ZIP Code: 83401-5296
Phone: (208) 523-3937

Authorized Official

Name: DR. NATHAN HOUSLEY, OD
Title: MANAGING MEMBER
Phone: (208) 523-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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