Organization · Type 2 NPI

Idaho Eye Center PA

Ambulatory Surgical Clinic/Center · Idaho Falls, ID

NPI number 1629145685 Active

Practice location

2025 E 17th St
Idaho Falls, ID 83404

Fax (208) 529-1924

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

8 other providers at this address

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About NPI 1629145685

Idaho Eye Center PA's National Provider Identifier is 1629145685, issued on Nov 28, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 12, 2008.