Organization
DREW C DAYTON CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DREW C DAYTON O.D. (PRESIDENT OWNER)
(208) 585-9500
Entity
Organization
Contact information
Practice address
622 E. MAIN ST., MIDDLETON, ID 83644-5502
(208) 585-9500
(208) 585-9497
Mailing address
622 E. MAIN ST., MIDDLETON, ID 83644-5502
(208) 585-9500
(208) 585-9497
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-823
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807484800
—
ID
Enumeration date
02/28/2007
Last updated
02/24/2012
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