Organization
EYE PROS OF OGDEN
Active
Other names
Eye Pros
Organization subpart
No
Provider details
NPI number
Authorized official
LAVAR W KOFOED OD (OWNER)
(208) 297-7019
Entity
Organization
Contact information
Practice address
4115 RIVERDALE RD, RIVERDALE, UT 84405-3509
(208) 297-7019
Mailing address
3485 N COLE RD UNIT 45479, BOISE, ID 83711-1095
(208) 297-7019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
10/01/2020
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