Organization
AMERICAN FALLS VISION CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE THOMAS OD (PARTNER)
(208) 226-2333
Entity
Organization
Contact information
Practice address
475 HILLCREST AVE, AMERICAN FALLS, ID 83211-1323
(208) 226-2333
(208) 226-2785
Mailing address
475 HILLCREST AVE, AMERICAN FALLS, ID 83211-1323
(208) 226-2333
(208) 226-2785
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002517300
—
ID
Enumeration date
09/20/2005
Last updated
01/28/2008
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