Total Vision PA

NPI #1447328463 in Caldwell, Idaho

Provider Information

NPI Number: 1447328463
Entity Type: Organization
Organization Name: Total Vision PA
Primary Specialty: Optometrist
Enumeration Date: Nov 30, 2006
Last Updated: Jun 28, 2010

Practice Location

Address: 1702 S KIMBALL AVE
City: Caldwell
State: Idaho
ZIP Code: 83605-4826
Phone: (208) 459-2641

Authorized Official

Name: MS. SHEREE C SHANNON
Title: ADMINISTRATIVE ASSISTANT
Phone: (208) 459-2641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Pediatrics — Pediatrics	152WP0200X
Optometrist - Low Vision Rehabilitation — Low Vision Rehabilitation	152WL0500X
Optometrist - Occupational Vision — Occupational Vision	152WX0102X
Optometrist - Sports Vision — Sports Vision	152WS0006X

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