Ivie Family Vision PA
NPI #1992114615 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1992114615
- Entity Type
- Organization
- Organization Name
- Ivie Family Vision PA
- Primary Specialty
- Optometrist
- Enumeration Date
- Aug 6, 2014
- Last Updated
- Jun 21, 2023
Practice Location
- Address
- 2405 JAFER CT
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-5587
- Phone
- (208) 529-2700
Authorized Official
- Name
- DR. JARED REESE IVIE, O.D.
- Title
- OWNER/OPTOMETRIST
- Phone
- (208) 529-2700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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