NPI 1871522235

Steven O Davis, OD

Practitioner Optometrist Middleton, ID

Practice location

Address: 622 E Main St, Middleton, ID 83644-3080
Phone: (208) 585-9500
Fax: (208) 585-9497

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-100237 (ID)

Other Optometrist providers in Idaho →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 868 (CO)

Registry record

NPI: 1871522235
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2006
Record last updated: 13 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.