Parkway Eyecare PC

NPI #1780784769 in Shelley, Idaho

Provider Information

NPI Number: 1780784769
Entity Type: Organization
Organization Name: Parkway Eyecare PC
Primary Specialty: Optometrist
Enumeration Date: Sep 22, 2006
Last Updated: Apr 27, 2016

Practice Location

Address: 524 N STATE ST
City: Shelley
State: Idaho
ZIP Code: 83274-1154
Phone: (208) 357-5733

Authorized Official

Name: DR. KRISTAN C SPARKS, OD
Title: OPTOMETRIST
Phone: (208) 357-5733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Provider Name	Specialty	City
DR. Kristan C Sparks, O.D.	Optometrist	Shelley	AI Deep Dive
Dennis Radford, O.D.	Optometrist	Shelley	AI Deep Dive
DR. Justin Thomas Heintz, OD	Optometrist	Shelley	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Snake River Eye Associates of Shelley, Pllc	Optometrist	Shelley	AI Deep Dive

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