State of Idaho

NPI #1538285481 in Nampa, Idaho

Provider Information

NPI Number: 1538285481
Entity Type: Organization
Organization Name: State of Idaho
Primary Specialty: Optometrist
Enumeration Date: Mar 22, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1660 11TH AVE N
City: Nampa
State: Idaho
ZIP Code: 83687-5000
Phone: (208) 442-2812

Authorized Official

Name: SUE BROETJE
Title: ADMINISTRATIVE DIRECTOR
Phone: (208) 442-2812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

Similar Providers

Provider Name	Specialty	City
James K Dean, O.D.	Optometrist	Nampa	AI Deep Dive
DR. Lorance Wilson Harwood, O.D.	Optometrist	Nampa	AI Deep Dive
Timothy Scott Gibbons, O.D.	Optometrist	Nampa	AI Deep Dive
DR. Daniel L Tiller, O.D.	Optometrist	Nampa	AI Deep Dive
Alexandra Hollingshead Wilson, OD	Optometrist	Nampa	AI Deep Dive

Want to research this healthcare provider further?