Intermountain Eye and Laser Centers Pllc

NPI #1518643923 in Eagle, Idaho

Provider Information

NPI Number
1518643923
Entity Type
Organization
Organization Name
Intermountain Eye and Laser Centers Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
INTERMOUNTAIN EYE AND LASER CENTERS PLLC
Primary Specialty
Ophthalmology - Glaucoma Specialist
Enumeration Date
Jun 22, 2023
Last Updated
Jun 22, 2023

Practice Location

Address
323 E RIVERSIDE DR STE 122
City
Eagle
State
Idaho
ZIP Code
83616-6865
Phone
(208) 938-4749

Authorized Official

Name
BRENT S BETTS
Title
PARTNER
Phone
(801) 581-2352

Specialties & Taxonomy Codes

Specialty
Optometrist
Ophthalmology
Ophthalmology - Glaucoma SpecialistGlaucoma Specialist

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