Organization
EYES OF IDAHO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BIGGAR O.D. (DOCTOR)
(208) 407-2005
Entity
Organization
Contact information
Practice address
8359 W EMERALD ST, BOISE, ID 83704-8304
(208) 376-2062
Mailing address
4700 W CLEARVIEW DR, BOISE, ID 83703-3624
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP100125
ID
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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