Individual
DR. SUSAN L. FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1906 FAIRVIEW AVE STE 100, CALDWELL, ID 83605-5433
(208) 459-2020
(208) 459-2034
Mailing address
1906 FAIRVIEW AVE STE 100, CALDWELL, ID 83605-5433
(208) 459-2020
(208) 459-2034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
868
ID
152W00000X
Optometrist
OD00003018
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016517
—
WA
Enumeration date
01/25/2007
Last updated
08/23/2024
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