Westside Eyecare INC

NPI #1134299928 in Idaho Falls, Idaho

Provider Information

NPI Number: 1134299928
Entity Type: Organization
Organization Name: Westside Eyecare INC
Primary Specialty: Optometrist
Enumeration Date: Nov 8, 2006
Last Updated: Dec 18, 2012

Practice Location

Address: 1689 PANCHERI DR
City: Idaho Falls
State: Idaho
ZIP Code: 83402-3041
Phone: (208) 529-4333

Authorized Official

Name: DR. JARED EDGAR BIRCH, O.D.
Title: PRESIDENT
Phone: (208) 529-4333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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