Organization
ELMORE COUNTY EYECARE, PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN CURRAN PRICE O.D. (PRESIDENT)
(208) 587-2020
Entity
Organization
Contact information
Practice address
855 WEST 6TH SOUTH, MOUNTAIN HOME, ID 83647-3335
(208) 587-2020
(208) 587-3349
Mailing address
855 W 6TH S, MOUNTAIN HOME, ID 83647-3335
(208) 587-2020
(208) 587-3349
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-995, ODP-966
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003973736
—
ID
05
—
1316038409
—
ID
05
—
1568427615
—
ID
Enumeration date
01/02/2007
Last updated
03/05/2012
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