NPI 1013254549

Parkway Eyecare, P.C.

Organisation Optometrist Idaho Falls, ID

Practice location

Address: 320 S Woodruff Ave, Idaho Falls, ID 83401-4329
Phone: (208) 524-4552
Fax: (208) 524-4559

Authorised official

Name: Kristan C Sparks
Title: Owner
Phone: (208) 357-5733

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-638 (ID)

Other Optometrist providers in Idaho →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-100034 (ID)

Registry record

NPI: 1013254549
Entity type: Organization
NPI issued: 3 Jan 2013
Record last updated: 1 Mar 2013

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.