Inland Eye Care Pllc

NPI #1689136178 in Moscow, Idaho

Provider Information

NPI Number: 1689136178
Entity Type: Organization
Organization Name: Inland Eye Care Pllc
Primary Specialty: Optometrist
Enumeration Date: Apr 3, 2019
Last Updated: Apr 3, 2019

Practice Location

Address: 212 RODEO DR STE 410
City: Moscow
State: Idaho
ZIP Code: 83843-9794
Phone: (208) 874-0020

Authorized Official

Name: DR. ENJOLI OLEETA COOKE, OD
Title: OWNER/OPTOMETRIST
Phone: (443) 223-9443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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