Organization
MATTHEW E. KENT, O.D.,P.A.
Active
Other names
Little Wood Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW E. KENT O.D. (PRESIDENT)
(208) 537-2020
Entity
Organization
Contact information
Practice address
520 N GREENWOOD ST., SHOSHONE, ID 83352
(208) 537-2020
(208) 537-2010
Mailing address
520 N GREENWOOD ST., SHOSHONE, ID 83352
(208) 537-2020
(208) 537-2010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
09/14/2016
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