Organization
NORTH IDAHO EYE INSTITUTE P A
Active
Other names
Coeur D Alene Eye Clinic Post Falls Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALYSSE CRANER (PRACTICE ADMINISTRATOR)
(208) 667-2531
Entity
Organization
Contact information
Practice address
1814 LINCOLN WAY, COEUR D ALENE, ID 83814-2540
(208) 667-2531
(208) 765-9385
Mailing address
1814 LINCOLN WAY, COEUR D ALENE, ID 83814-2540
(208) 667-2531
(208) 765-9385
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010018019
REGENCE BLUE SHIELD OF ID
ID
05
—
0023705
—
ID
Enumeration date
01/29/2007
Last updated
04/26/2024
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