Organization
MOBILEYES HEALTH CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANDON KNIGHT HAGBERG O.D. (OPTOMETRIST)
(208) 757-2289
Entity
Organization
Contact information
Practice address
17415 SOLOMON DR, NAMPA, ID 83687-5371
(208) 757-2289
Mailing address
17415 SOLOMON DR, NAMPA, ID 83687-5371
(208) 757-2289
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
100220
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699087437
—
ID
Enumeration date
10/21/2015
Last updated
10/21/2015
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