NPI 1134299928

Westside Eyecare INC

Organisation Optometrist Idaho Falls, ID

Practice location

Address: 1689 Pancheri Dr, Idaho Falls, ID 83402-3041
Phone: (208) 529-4333
Fax: (208) 529-4366

Authorised official

Name: Jared Edgar Birch
Title: President
Phone: (208) 529-4333

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-100057 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1134299928
Entity type: Organization
NPI issued: 8 Nov 2006
Record last updated: 18 Dec 2012

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.