NPI 1215945431

Eye Clinic of Sandpoint PA

Organisation Ophthalmology Physician Sandpoint, ID

Practice location

Address: 307 S 1st Ave, Sandpoint, ID 83864
Phone: (208) 263-8501
Fax: (208) 263-9713
Mailing address: 307 S 1st Ave, Sandpoint, ID 83864-1201

Authorised official

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

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Other Ophthalmology providers in Idaho →

Eyewear Supplier

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Idaho →

Registry record

NPI: 1215945431
Entity type: Organization
NPI issued: 3 Aug 2006
Record last updated: 19 Jun 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.