Coeur Dalene Vision Source

NPI #1598881351 in Coeur D Alene, Idaho

Provider Information

NPI Number: 1598881351
Entity Type: Organization
Organization Name: Coeur Dalene Vision Source
Primary Specialty: Optometrist
Enumeration Date: Mar 22, 2007
Last Updated: Jun 19, 2023

Practice Location

Address: 3879 N SCHREIBER WAY
City: Coeur D Alene
State: Idaho
ZIP Code: 83815-8362
Phone: (208) 765-2020

Authorized Official

Name: DR. RAYMOND KARL GREENE, OD
Title: OPTOMETRIST
Phone: (208) 765-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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