Eyecenter PA

NPI #1699862805 in Jerome, Idaho

Provider Information

NPI Number: 1699862805
Entity Type: Organization
Organization Name: Eyecenter PA
Subpart: Yes (part of a larger organization)
Parent Organization: EYECENTER PA
Primary Specialty: Optometrist
Enumeration Date: Oct 7, 2006
Last Updated: Jan 8, 2008

Practice Location

Address: 201 SOUTH LINCOLN
City: Jerome
State: Idaho
ZIP Code: 83338-2624
Phone: (208) 324-4363

Authorized Official

Name: JAMES A DAVIS, OD
Title: OWNER OPTOMETRIST
Phone: (208) 324-4363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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