Eyecenter PA
Optometrist in Hailey, ID. Organization (NPI-2).
NPI number1154418366
StatusActive
Last updated in NPPESJan 8, 2008
Details
- NPI
- 1154418366
- Entity type
- Organization (NPI-2)
- Legal business name
- Eyecenter PA
- Organization subpart
- Yes
- Enumeration date
- Oct 7, 2006
- Last updated
- Jan 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Hailey Eyecenter (Doing Business As)
Practice location
14 East CroyHailey, ID 83333-8407
Phone 208-788-4120 · Fax 208-788-3571
Mailing address
14 East CroyHailey, ID 83333-8407
Phone 208-788-4120 · Fax 208-788-3571
Authorized official
Steven G Snapp
Owner Optometrist
2087884120
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