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Organization

FAMILY VISION AND EYE CARE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TODD SLUSSER OD (PRESIDENT)
(208) 436-3455
Entity
Organization

Contact information

Practice address
714 G ST, RUPERT, ID 83350-1612
(208) 436-3455
(208) 436-3195
Mailing address
714 G ST, RUPERT, ID 83350-1612
(208) 436-3455
(208) 436-3195

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4991580001
DMERC NUMBER
ID
Enumeration date
11/15/2006
Last updated
07/11/2024
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