NPI 1518021849

Idaho Eye Center PA

Organisation Ophthalmology Physician Idaho Falls, ID

Practice location

Address: 2025 E 17th St, Idaho Falls, ID 83404
Phone: (208) 524-2025
Fax: (208) 529-1924

Authorised official

Name: Bradley P Gardner
Title: Senior Vice President
Phone: (208) 524-2025

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Other Ophthalmology providers in Idaho →

Registry record

NPI: 1518021849
Entity type: Organization
NPI issued: 21 Dec 2006
Record last updated: 20 Aug 2008

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.