Southern Idaho Vision Alliance,pllc

NPI #1427169416 in Twin Falls, Idaho

Provider Information

NPI Number: 1427169416
Entity Type: Organization
Organization Name: Southern Idaho Vision Alliance,pllc
Primary Specialty: Optometrist
Enumeration Date: Aug 31, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2051 TRAIL CREEK CIR
City: Twin Falls
State: Idaho
ZIP Code: 83301-8352
Phone: (208) 735-0036

Authorized Official

Name: JON E HEITZMAN, OD
Title: CEO
Phone: (208) 735-0036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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