DR. Jared Reese Ivie, O.D.

NPI #1285862599 in Idaho Falls, Idaho

Provider Information

NPI Number: 1285862599
Entity Type: Individual
Name: DR. Jared Reese Ivie, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 24, 2009
Last Updated: Apr 5, 2022

Practice Location

Address: 2405 JAFER CT
City: Idaho Falls
State: Idaho
ZIP Code: 83404-5587
Phone: (208) 529-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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