Organization
EYE PROS SPANISH FORK LLC
Active
Other names
Eye Pros
Organization subpart
No
Provider details
NPI number
Authorized official
LAVAR KOFOED OD (OWNER/ OPTOMETRIST)
(208) 447-9965
Entity
Organization
Contact information
Practice address
846 EXPRESSWAY LN, SPANISH FORK, UT 84660-1300
(833) 776-2020
Mailing address
3485 N COLE RD UNIT 45479, BOISE, ID 83711-1095
(833) 776-2020
(208) 297-7518
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
11/06/2024
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