Retina Consultants of Idaho, Pllc

NPI #1255456323 in Meridian, Idaho

Provider Information

NPI Number: 1255456323
Entity Type: Organization
Organization Name: Retina Consultants of Idaho, Pllc
Primary Specialty: Ophthalmology
Enumeration Date: Mar 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3715 E OVERLAND ROAD
Address 2: SUITE 250
City: Meridian
State: Idaho
ZIP Code: 83642
Phone: (208) 855-5950

Authorized Official

Name: DR. SCOTT C SIMPSON, M.D.
Title: MANAGER
Phone: (208) 855-5950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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