Porter Eyecare Pllc

NPI #1770851446 in Idaho Falls, Idaho

Provider Information

NPI Number: 1770851446
Entity Type: Organization
Organization Name: Porter Eyecare Pllc
Primary Specialty: Optometrist
Enumeration Date: Dec 8, 2011
Last Updated: Mar 20, 2014

Practice Location

Address: 1480 E LINCOLN RD STE B
City: Idaho Falls
State: Idaho
ZIP Code: 83401-2128
Phone: (208) 525-8686

Authorized Official

Name: LISA LIN PORTER, OD
Title: OWNER
Phone: (208) 757-0441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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