Organization
VISION SPECIALISTS OF IDAHO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN HEINER OD (OWNER)
(208) 440-5953
Entity
Organization
Contact information
Practice address
4207 CLOCK TOWER AVE STE 102, CALDWELL, ID 83607-5236
(208) 510-5150
Mailing address
16670 BOEHNER RD, CALDWELL, ID 83607-9224
(208) 440-4966
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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