Idaho Eye Pros of Nampa

NPI #1871912147 in Nampa, Idaho

Provider Information

NPI Number: 1871912147
Entity Type: Organization
Organization Name: Idaho Eye Pros of Nampa
Primary Specialty: Optometrist
Enumeration Date: Apr 15, 2014
Last Updated: Apr 15, 2014

Practice Location

Address: 16449 MIDLAND BLVD
City: Nampa
State: Idaho
ZIP Code: 83687-5222
Phone: (208) 467-7020

Authorized Official

Name: LAVAR W KOFOED, OD
Title: OWNWE
Phone: (208) 378-7020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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