Individual
DR. ERIC B PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1970 OVERLAND AVE, BURLEY, ID 83318-2439
(208) 678-3539
Mailing address
1970 OVERLAND AVE, BURLEY, ID 83318-2439
(208) 678-3539
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100249
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20001332
MEDICARE NUMBER
ID
Enumeration date
06/06/2012
Last updated
05/11/2017
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