Organization
TODD F. BIRCH, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI L BIRCH (CORPORATE SECRETARY)
(208) 522-5594
Entity
Organization
Contact information
Practice address
3351 MERLIN DR, IDAHO FALLS, ID 83404-7405
(208) 522-5594
(208) 552-2240
Mailing address
3351 MERLIN DR, IDAHO FALLS, ID 83404-7405
(208) 522-5594
(208) 552-2240
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-841
ID
Other
Enumeration date
02/08/2007
Last updated
01/10/2008
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