Individual
AMY MARIE NEIDEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1702 S KIMBALL AVE, CALDWELL, ID 83605-4826
(208) 459-2641
(208) 459-2895
Mailing address
1702 S KIMBALL AVE, CALDWELL, ID 83605-4826
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3189
OK
152W00000X
Optometrist
Primary
ODP-100618
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2022
Last updated
08/14/2023
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