Individual
JEFFREY E. SCHWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
440 E STATE ST, SUITE 140, EAGLE, ID 83616-4966
(208) 939-7000
Mailing address
440 E STATE ST, SUITE 140, EAGLE, ID 83616-4966
(208) 939-7000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0-930
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000287600
—
ID
Enumeration date
10/02/2006
Last updated
02/12/2008
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