NPI 1093367971

Bonneville Vision, PLLC

Organisation Optometrist Idaho Falls, ID

Practice location

Address: 838 S Woodruff Ave, Idaho Falls, ID 83401-5296
Phone: (208) 523-3937

Authorised official

Name: Nathan Housley
Title: Managing Member
Phone: (208) 523-3937

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Idaho →

Registry record

NPI: 1093367971
Entity type: Organization
NPI issued: 11 Jul 2019
Record last updated: 11 Jul 2019

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.