Organization
CANYON VIEW EYECARE PLLC
Active
Parent organization
CANYON VIEW EYECARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANYON VIEW EYECARE
Authorized official
MITCH MERRILL OD (OWNER)
(208) 356-6911
Entity
Organization
Contact information
Practice address
74 E 1ST S, REXBURG, ID 83440-1936
(208) 356-6911
Mailing address
74 E 1ST S, REXBURG, ID 83440-1936
(208) 356-6911
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/29/2021
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