Hayden Vision Center

NPI #1629427372 in Hayden, Idaho

Provider Information

NPI Number: 1629427372
Entity Type: Organization
Organization Name: Hayden Vision Center
Primary Specialty: Optometrist
Enumeration Date: Jun 3, 2016
Last Updated: Jun 3, 2016

Practice Location

Address: 8445 N GOVERNMENT WAY
City: Hayden
State: Idaho
ZIP Code: 83835-9280
Phone: (208) 772-3208

Authorized Official

Name: ROBERT SORENSEN, O.D.
Title: OPTOMETRIST
Phone: (208) 772-3208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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