North Idaho Eye Clinics, INC

NPI #1972658169 in Rathdrum, Idaho

Provider Information

NPI Number: 1972658169
Entity Type: Organization
Organization Name: North Idaho Eye Clinics, INC
Primary Specialty: Optometrist
Enumeration Date: Jan 25, 2007
Last Updated: Mar 14, 2008

Practice Location

Address: 15630 N HIGHWAY 41
City: Rathdrum
State: Idaho
ZIP Code: 83858-8710
Phone: (208) 687-0370

Authorized Official

Name: DR. BRIAN R MILLER, O.D.
Title: PRESIDENT
Phone: (208) 687-0370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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