Individual
DR. JARED REESE IVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2405 JAFER CT, IDAHO FALLS, ID 83404-5587
(208) 529-2700
(208) 529-0873
Mailing address
2405 JAFER CT, IDAHO FALLS, ID 83404-5587
(208) 529-2700
(208) 529-0873
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100241
ID
Other
Enumeration date
06/24/2009
Last updated
04/05/2022
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