Individual
RYKER LANE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4013 YELLOWSTONE AVE STE D, POCATELLO, ID 83202-1984
(208) 417-1500
Mailing address
263 BALLARD RD, POCATELLO, ID 83202-7007
(208) 996-9479
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7171668
ID
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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