NPI 1013206275

Baird Optical PC

Organisation Optometrist Chubbuck, ID

Practice location

Address: 4240 Yellowstone Ave, Chubbuck, ID 83202-2420
Phone: (208) 238-2020
Fax: (208) 238-2069
Mailing address: 966 Old Glory Way, Chubbuck, ID 83202-1779

Authorised official

Name: Michael Baird
Title: Ceo
Phone: (208) 709-0540

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP967 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1013206275
Entity type: Organization
NPI issued: 28 Mar 2011
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.