Organization
NORTH IDAHO EYE CLINICS, INC.
Active
Other names
Kellogg Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN R MILLER O.D. (PRESIDENT OWNER)
(208) 784-1141
Entity
Organization
Contact information
Practice address
403 BUNKER AVE, KELLOGG, ID 83837-2205
(208) 784-1141
(208) 784-1142
Mailing address
403 BUNKER AVE, KELLOGG, ID 83837-2205
(208) 784-1141
(208) 784-1142
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP 100109
ID
Other
Enumeration date
03/27/2007
Last updated
02/08/2008
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