Blackfoot Vision Care Associates

NPI #1629464052 in Blackfoot, Idaho

Provider Information

NPI Number: 1629464052
Entity Type: Organization
Organization Name: Blackfoot Vision Care Associates
Primary Specialty: Optometrist
Enumeration Date: Apr 13, 2015
Last Updated: Apr 13, 2015

Practice Location

Address: 34 SE MAIN ST
City: Blackfoot
State: Idaho
ZIP Code: 83221-5094
Phone: (208) 785-2025

Authorized Official

Name: DR. GARY J LATTIMORE, OD
Title: OPTOMETRIST
Phone: (208) 785-2025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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