North Idaho Eye Clinics, Inc.

NPI #1609994631 in Kellogg, Idaho

Provider Information

NPI Number: 1609994631
Entity Type: Organization
Organization Name: North Idaho Eye Clinics, Inc.
Primary Specialty: Optometrist
Enumeration Date: Mar 27, 2007
Last Updated: Feb 8, 2008

Practice Location

Address: 403 BUNKER AVE
City: Kellogg
State: Idaho
ZIP Code: 83837-2205
Phone: (208) 784-1141

Authorized Official

Name: DR. BRIAN R MILLER, O.D.
Title: PRESIDENT OWNER
Phone: (208) 784-1141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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