Vistec LLC

NPI #1992198675 in Pocatello, Idaho

Provider Information

NPI Number: 1992198675
Entity Type: Organization
Organization Name: Vistec LLC
Primary Specialty: Optometrist
Enumeration Date: Mar 5, 2015
Last Updated: Mar 5, 2015

Practice Location

Address: 1246 YELLOWSTONE AVE STE A4
City: Pocatello
State: Idaho
ZIP Code: 83201-4372
Phone: (208) 237-7666

Authorized Official

Name: DR. WALLACE L CHRISTENSEN, O.D.
Title: OWNER/OPTOMETRIST
Phone: (208) 237-7666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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