NPI 1245340314

Jerry Blair Nave, OD

Practitioner Optometrist Idaho Falls, ID

Practice location

Address: 2550 S 25th E, Idaho Falls, ID 83404
Phone: (208) 552-7323
Fax: (208) 552-7325

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0818 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1245340314
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2006
Record last updated: 10 Nov 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.