Organization
BURLEY EYE CARE CENTER, L.L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELBERT OMAN O.D. (CO-OWNER)
(208) 678-3539
Entity
Organization
Contact information
Practice address
1970 OVERLAND AVE, BURLEY, ID 83318-2439
(208) 678-3539
(208) 678-2949
Mailing address
1970 OVERLAND AVE, BURLEY, ID 83318-2439
(208) 678-3539
(208) 678-2949
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
ODP-501
ID
152W00000X
Optometrist
Primary
ODP-969
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804162200
—
ID
Enumeration date
01/30/2007
Last updated
03/19/2015
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