Keen Eye Vision Pllc

NPI #1861674707 in Star, Idaho

Provider Information

NPI Number: 1861674707
Entity Type: Organization
Organization Name: Keen Eye Vision Pllc
Primary Specialty: Optometrist
Enumeration Date: Dec 3, 2007
Last Updated: Dec 3, 2007

Practice Location

Address: 170 SOUTH SENECA SPRINGS WAY
Address 2: SUITE 100
City: Star
State: Idaho
ZIP Code: 83669
Phone: (208) 898-4112

Authorized Official

Name: DR. JEFFREY PAUL GRAVIET, O.D.
Title: OWNER
Phone: (208) 286-7296

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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