Organization
PEND OREILLE VISION CARE
Active
Organization
PEND OREILLE VISION CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANEAL HARRELL OD (OWNER/PRESIDENT)
(208) 265-7965
Entity
Organization
Contact information
Practice address
514 OAK ST STE A, SANDPOINT, ID 83864-1480
(208) 265-7965
(208) 265-7905
Mailing address
514 OAK ST, UNIT A, SANDPOINT, ID 83864-1480
(208) 265-7965
(208) 265-7905
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2012
Last updated
03/09/2023
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