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
- City
- Idaho Falls
- 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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