Organization
KEEN EYE VISION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY PAUL GRAVIET O.D. (OWNER)
(208) 286-7296
Entity
Organization
Contact information
Practice address
170 SOUTH SENECA SPRINGS WAY, SUITE 100, STAR, ID 83669
(208) 898-4112
Mailing address
457 N HANNAH PL, STAR, ID 83669-5640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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