Organization
IWASA EYE CENTER P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL E. IWASA O.D. (OPTOMETHRIC PHYSICIAN)
(208) 452-2151
Entity
Organization
Contact information
Practice address
925 NW 12TH ST, FRUITLAND, ID 83619-5044
(208) 642-2151
(208) 452-6508
Mailing address
925 NW 12TH ST, FRUITLAND, ID 83619-5044
(208) 452-2151
(208) 452-6508
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-856
ID
Other
Enumeration date
02/14/2007
Last updated
07/11/2023
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