Dsm Optometry LLC

NPI #1154616258 in Idaho Falls, Idaho

Provider Information

NPI Number: 1154616258
Entity Type: Organization
Organization Name: Dsm Optometry LLC
Primary Specialty: Optometrist
Enumeration Date: Jun 16, 2011
Last Updated: Jun 16, 2011

Practice Location

Address: 2300 E 17TH ST
City: Idaho Falls
State: Idaho
ZIP Code: 83404-6504
Phone: (208) 525-8964

Authorized Official

Name: DR. DAMON SCOTT MORTENSEN, OD
Title: OWNER/DR.
Phone: (208) 525-8964

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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