DR. Kent M. Archibald, O.D.

NPI #1851336721 in Rexburg, Idaho

Provider Information

NPI Number: 1851336721
Entity Type: Individual
Name: DR. Kent M. Archibald, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 17, 2006
Last Updated: May 21, 2008

Practice Location

Address: 76 PROFESSIONAL PLZ
City: Rexburg
State: Idaho
ZIP Code: 83440-2047
Phone: (208) 356-4585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Low Vision Rehabilitation — Low Vision Rehabilitation	152WL0500X
Optometrist - Pediatrics — Pediatrics	152WP0200X
Optometrist - Sports Vision — Sports Vision	152WS0006X
Optometrist - Vision Therapy — Vision Therapy	152WV0400X
Optometrist - Occupational Vision — Occupational Vision	152WX0102X

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