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Organization

MOUNTAIN VISION EYE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERRI L HALEY OD (OPTOMETRIC PHYSICIAN)
(208) 265-7965
Entity
Organization

Contact information

Practice address
514 OAK ST, SANDPOINT, ID 83864-1480
(208) 265-7965
(208) 265-4510
Mailing address
514 OAK ST, SANDPOINT, ID 83864-1480
(208) 265-7965
(208) 265-4510

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP100004
ID

Other

Enumeration date
10/19/2007
Last updated
12/04/2007
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