Lakeside Eyecare

NPI #1881837243 in Coeur D Alene, Idaho

Provider Information

NPI Number: 1881837243
Entity Type: Organization
Organization Name: Lakeside Eyecare
Primary Specialty: Optometrist
Enumeration Date: Apr 15, 2009
Last Updated: Feb 5, 2010

Practice Location

Address: 312 N 4TH ST
City: Coeur D Alene
State: Idaho
ZIP Code: 83814-2812
Phone: (208) 676-1422

Authorized Official

Name: DR. JOHN LLOYD CALDERWOOD, O.D.
Title: OWNER
Phone: (208) 676-1422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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