Organization
FAMILY EYE CARE OF OROFINO, P.A.
Active
Other names
Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK G. LUNDGREN O.D. (PRESIDENT)
(208) 476-4814
Entity
Organization
Contact information
Practice address
180 MICHIGAN AVE., OROFINO, ID 83544-9066
(208) 476-4814
(208) 476-3921
Mailing address
PO BOX 147, OROFINO, ID 83544-0147
(208) 476-4814
(208) 476-3921
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-729
ID
Other
Enumeration date
03/26/2009
Last updated
01/19/2011
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