NPI 1023223187

Aspen Ridge Eye Care, PLLC

Organisation Optometrist Ammon, ID

Practice location

Address: 3456 E 17th St Suite 150, Ammon, ID 83406-6757
Phone: (208) 528-6900
Fax: (208) 528-6904

Authorised official

Name: Jerry D Carlson
Title: Owner
Phone: (208) 528-6900

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-100104 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1023223187
Entity type: Organization
NPI issued: 11 May 2007
Record last updated: 1 May 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.