NPI 1154493708

Associated Westside Optometric Clinic P.A.

Organisation Optometrist Idaho Falls, ID

Practice location

Address: 1991 W Broadway St STE 2, Idaho Falls, ID 83402-3041
Phone: (208) 529-4333

Authorised official

Name: Douglas James Hilborn
Title: Owner
Phone: (208) 529-4333

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-546 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1154493708
Entity type: Organization
NPI issued: 15 Nov 2006
Record last updated: 22 Aug 2020

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.