Canyon View Eyecare Pllc

NPI #1184394405 in Rexburg, Idaho

Provider Information

NPI Number: 1184394405
Entity Type: Organization
Organization Name: Canyon View Eyecare Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: CANYON VIEW EYECARE
Primary Specialty: Optometrist
Enumeration Date: Sep 17, 2021
Last Updated: Sep 29, 2021

Practice Location

Address: 74 E 1ST S
City: Rexburg
State: Idaho
ZIP Code: 83440-1936
Phone: (208) 356-6911

Authorized Official

Name: MITCH MERRILL, OD
Title: OWNER
Phone: (208) 356-6911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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