Organization
RYAN D. HUBER, O.D., P.A.
Active
Other names
Six One Six Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN DOUGLAS HUBER O.D. (OPTOMETRIST/OWNER)
(208) 514-1858
Entity
Organization
Contact information
Practice address
27 N FISHER PARK WAY, SUITE 101, EAGLE, ID 83616-4796
(208) 514-1858
(844) 840-3190
Mailing address
27 N FISHER PARK WAY, SUITE 101, EAGLE, ID 83616-4796
(208) 514-1858
(844) 840-3190
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100228
ID
Other
Enumeration date
06/02/2015
Last updated
03/21/2016
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