Organization
WEST DAWN LLC
Active
Other names
Riverbend Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC WESTON WOODWARD OD (OWNER)
(208) 800-6003
Entity
Organization
Contact information
Practice address
218 EAST ELLIS STREET, PAUL, ID 83347
(208) 629-6173
Mailing address
PO BOX 182, PAUL, ID 83347-0182
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
08/02/2024
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