Lewiston Eye Clinic PA

NPI #1598871899 in Lewiston, Idaho

Provider Information

NPI Number: 1598871899
Entity Type: Organization
Organization Name: Lewiston Eye Clinic PA
Primary Specialty: Ophthalmology
Enumeration Date: Aug 21, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2214 VINEYARD AVE
City: Lewiston
State: Idaho
ZIP Code: 83501
Phone: (208) 743-2241

Authorized Official

Name: DR. EUGENE MEEHAN BALDECK, MD
Title: OWNER
Phone: (208) 743-2241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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