NPI 1124079041

Matt G. Merrell, OD

Practitioner Optometrist Twin Falls, ID

Practice location

Address: 526h Shoup Ave W., Twin Falls, ID 83301-5050
Phone: (208) 733-2400
Fax: (208) 734-0343

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP878 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1124079041
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2006
Record last updated: 27 Jul 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.