Eyedaho Optometric LLC

NPI #1396361358 in Idaho Falls, Idaho

Provider Information

NPI Number
1396361358
Entity Type
Organization
Organization Name
Eyedaho Optometric LLC
Primary Specialty
Clinic/Center
Enumeration Date
Jun 24, 2020
Last Updated
Jun 24, 2020

Practice Location

Address
500 S UTAH AVE
State
Idaho
ZIP Code
83402-3305
Phone
(208) 709-5371

Authorized Official

Name
DR. TREVOR DICKSON, OD
Title
OWNER
Phone
(208) 709-5371

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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