Optic Art Ii, P.c.

NPI #1093946097 in Moscow, Idaho

Provider Information

NPI Number: 1093946097
Entity Type: Organization
Organization Name: Optic Art Ii, P.c.
Primary Specialty: Optometrist
Enumeration Date: Aug 7, 2009
Last Updated: Jan 13, 2012

Practice Location

Address: 213 N MAIN ST
City: Moscow
State: Idaho
ZIP Code: 83843-2700
Phone: (208) 882-2932

Authorized Official

Name: DR. RODGER DEAN ROBERTSON, O.D.
Title: OPTOMETRIC PHYSICIAN
Phone: (208) 882-2932

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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