Organization
SPARHAWK VISION, CHTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN DAVID SPARHAWK OD (OPTOMETRIST)
(208) 461-1000
Entity
Organization
Contact information
Practice address
2025 12TH AVE RD, SUITE 100, NAMPA, ID 83686-6459
(208) 461-1000
Mailing address
2025 12TH AVE RD, SUITE 100, MAMPA, ID 83686
(208) 461-1000
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
ODP-100122
ID
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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