Individual
DR. DICK L VESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
425 PINE ST, WALLACE, ID 83873-2256
(208) 752-2020
(208) 556-7971
Mailing address
425 PINE ST, WALLACE, ID 83873-2256
(208) 752-2020
(208) 556-7971
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0640
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000783200
—
ID
Enumeration date
07/14/2006
Last updated
06/12/2009
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