Individual
DR. JUSTIN DAVID SPARHAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2025 12TH AVE RD, NAMPA, ID 83686-6459
(208) 461-1000
(208) 461-0969
Mailing address
781 N SHADOWRIDGE AVE, EAGLE, ID 83616-5674
(208) 939-3294
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
ODP-100122
ID
152WC0802X
Corneal and Contact Management Optometrist
Primary
ODP-100122
ID
Other
Enumeration date
10/17/2006
Last updated
09/11/2025
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