Idaho Vision Development Center Pllc

NPI #1952963399 in Ammon, Idaho

Provider Information

NPI Number: 1952963399
Entity Type: Organization
Organization Name: Idaho Vision Development Center Pllc
Primary Specialty: Optometrist - Vision Therapy
Enumeration Date: Jul 6, 2019
Last Updated: Jul 6, 2019

Practice Location

Address: 1536 MIDWAY DR
City: Ammon
State: Idaho
ZIP Code: 83406-6912
Phone: (208) 227-8822

Authorized Official

Name: DANIEL NIELSON, OD
Title: OPTOMETRIST
Phone: (208) 227-8822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Vision Therapy — Vision Therapy	152WV0400X	Primary

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DR. Scott Ryan Lewis, O.D.	Optometrist - Vision Therapy	Boise	AI Deep Dive
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DR. Ron Wade Porter, M.D.	Pediatrics	Ammon	AI Deep Dive

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Sl Vision Pllc	Optometrist - Vision Therapy	Boise	AI Deep Dive
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