Organization
DR. KEVIN MCELROY, OD PA
Active
Other names
Meridian Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN W MCELROY O.D. P.A. (PRESIDENT)
(208) 888-5252
Entity
Organization
Contact information
Practice address
50 E CARMEL DR, MERIDIAN, ID 83646-3301
(208) 888-5252
(208) 884-4280
Mailing address
50 E CARMEL DR, MERIDIAN, ID 83646-3301
(208) 888-5252
(208) 884-4280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
O-653
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003410000
—
ID
01
—
V7169
BLUE CROSS OF IDAHO
ID
Enumeration date
03/23/2007
Last updated
01/01/2014
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