Individual
ISAIAH AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
731 POLELINE RD, TWIN FALLS, ID 83301-3036
(208) 732-5688
(208) 736-1596
Mailing address
217 BUCHANAN ST, TWIN FALLS, ID 83301-5242
(208) 948-5551
(208) 736-1596
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP100082
ID
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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