Individual
DENNIS RADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
357 W FIR ST, SHELLEY, ID 83274-1456
(208) 881-5145
(208) 881-5146
Mailing address
PO BOX K, SHELLEY, ID 83274-0910
(208) 881-5145
(208) 881-5146
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100115
ID
Other
Enumeration date
08/30/2006
Last updated
11/14/2025
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