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Organization

VIVA ENTERPRISES

Active
Other names
Sandpoint Optometry & Thomas M Wiley OD
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS MARVIN WILEY OD (PARTNER)
(208) 265-4140
Entity
Organization

Contact information

Practice address
1333 SUPERIOR ST, SANDPOINT, ID 83864
(208) 265-4140
(208) 265-4448
Mailing address
1333 SUPERIOR ST, SANDPOINT, ID 83864
(208) 265-4140
(208) 265-4448

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP602
ID

Other

Enumeration date
08/30/2006
Last updated
10/24/2011
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