NPI 1952963399
Idaho Vision Development Center PLLC
Practice location
- Address
- 1536 Midway Dr, Ammon, ID 83406-6912
- Phone
- (208) 227-8822
- Fax
- (208) 227-8966
Authorised official
- Name
- Daniel Nielson
- Title
- Optometrist
- Phone
- (208) 227-8822
Registered specialties
Vision Therapy Optometrist
Primary
Registry record
- NPI
- 1952963399
- Entity type
- Organization
- NPI issued
- 6 Jul 2019
- Record last updated
- 6 Jul 2019
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.