Organization
ICARE OPTOMETRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KAWAKAMI OD (OPTOMETRIST)
(208) 522-2839
Entity
Organization
Contact information
Practice address
700 E 17TH ST, IDAHO FALLS, ID 83404-6152
(208) 522-2839
Mailing address
700 E 17TH ST, IDAHO FALLS, ID 83404-6152
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
06/22/2021
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