NPI 1386166312

Gideon Bender

Practitioner Optometrist Eagle, ID

Practice location

Address: 355 S Eagle Rd, Eagle, ID 83616-5912
Phone: (208) 938-2015

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-100410 (ID)

Other Optometrist providers in Idaho →

Registry record

NPI: 1386166312
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2017
Record last updated: 12 Jul 2017

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.