Organization
THOMAS L SIMMONS
Active
Other names
Teton Valley Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LYLE SIMMONS O.D. (OPTOMETRIST)
(208) 787-3937
Entity
Organization
Contact information
Practice address
741 S 50 W STE B, VICTOR, ID 83455-5129
(208) 787-3937
(208) 787-3939
Mailing address
741 S 50 W STE B, VICTOR, ID 83455-5345
(208) 787-3937
(208) 787-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100009
ID
Other
Enumeration date
08/30/2007
Last updated
06/18/2008
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