Organization
HAYDEN VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SORENSEN O.D. (OPTOMETRIST)
(208) 772-3208
Entity
Organization
Contact information
Practice address
8445 N GOVERNMENT WAY, HAYDEN, ID 83835-9280
(208) 772-3208
Mailing address
8445 N GOVERNMENT WAY, HAYDEN, ID 83835-9280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP - 100363
ID
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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