NPI 1104957612

Eye Clinic of Sandpoint PA

Organisation Eyewear Supplier Sandpoint, ID

Practice location

Address: 307 S 1st Ave, Sandpoint, ID 83864-1201
Phone: (208) 263-8501

Authorised official

Name: Jason M Petersen
Title: Physician-Owner
Phone: (208) 263-8501

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Idaho →

Registry record

NPI: 1104957612
Entity type: Organization
NPI issued: 8 Mar 2007
Record last updated: 15 Feb 2018

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.