Organization
AMPLIFY OPTOMETRY OF AMERICA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY NAVE OD (OWNER)
(208) 552-7323
Entity
Organization
Contact information
Practice address
2550 S 25TH E, IDAHO FALLS, ID 83404-6507
(208) 552-7323
Mailing address
6125 LUTHER LN # 572, DALLAS, TX 75225-6202
(312) 608-4584
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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