Individual
DR. SCOTT W. HOMER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
800 E 17TH ST, IDAHO FALLS, ID 83404-6151
(208) 522-0159
(208) 522-3066
Mailing address
800 E 17TH ST, IDAHO FALLS, ID 83404-6151
(208) 522-0159
(208) 522-3066
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD00001953
WA
152W00000X
Optometrist
Primary
ODP727
ID
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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