Viva Enterprises

NPI #1487764981 in Sandpoint, Idaho

Provider Information

NPI Number: 1487764981
Entity Type: Organization
Organization Name: Viva Enterprises
Primary Specialty: Optometrist
Enumeration Date: Aug 30, 2006
Last Updated: Oct 24, 2011

Practice Location

Address: 1333 SUPERIOR ST
City: Sandpoint
State: Idaho
ZIP Code: 83864
Phone: (208) 265-4140

Authorized Official

Name: THOMAS MARVIN WILEY, OD
Title: PARTNER
Phone: (208) 265-4140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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