Individual
DR. LARRY V. DOWNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1016 E LOCUST ST, EMMETT, ID 83617-2776
(208) 365-3584
(208) 365-2471
Mailing address
1016 E LOCUST ST, EMMETT, ID 83617-2776
(208) 365-3584
(208) 365-2471
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP456
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010015206
REGENCE BLUE SHIELD
ID
01
—
34870
DAVIS VISION
ID
01
—
V024 5
BLUE CROSS
ID
Enumeration date
05/24/2005
Last updated
01/31/2008
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