Organization
PREMIER EYE CARE OF EASTERN IDAHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW P TRAYNOR M.D. (OWNER)
(208) 529-6600
Entity
Organization
Contact information
Practice address
2100 PROVIDENCE WAY, IDAHO FALLS, ID 83404
(208) 529-6600
(208) 529-6602
Mailing address
2100 PROVIDENCE WAY, IDAHO FALLS, ID 83404-4951
(208) 529-6600
(208) 529-6602
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M10686
ID
Other
Enumeration date
11/20/2011
Last updated
06/28/2023
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