Organization
BEAR RIVER VISION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY HOWARD SANDERSON O.D. (OPTOMETRY/OWNER)
(208) 547-2114
Entity
Organization
Contact information
Practice address
380 S 3RD W, SODA SPRINGS, ID 83276-1559
(208) 547-2114
(208) 547-2020
Mailing address
380 S 3RD W, SODA SPRINGS, ID 83276-1559
(208) 547-2114
(208) 547-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0-536
ID
Other
Enumeration date
08/23/2006
Last updated
08/22/2020
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