NPI 1093911133

Eye Clinic of Idaho Falls,pa

Organisation Ophthalmology Physician Idaho Falls, ID

Practice location

Address: 530 S Holmes Ave, Idaho Falls, ID 83401-4751
Phone: (208) 529-3937
Fax: (208) 524-4380
Mailing address: PO Box 2410, Idaho Falls, ID 83403-2410

Authorised official

Name: David R Anderson
Title: Medical Director
Phone: (208) 529-3937

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence M3793 (ID)

Other Ophthalmology providers in Idaho →

Registry record

NPI: 1093911133
Entity type: Organization
NPI issued: 25 Jun 2007
Record last updated: 15 Sep 2011

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.