Organization
MICHAEL BAIRD OPTOMETRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L BAIRD O.D. (PRESIDENT)
(208) 529-5914
Entity
Organization
Contact information
Practice address
2300 E 17TH ST, IDAHO FALLS, ID 83404
(208) 524-6568
(208) 524-6562
Mailing address
5379 S 45TH E, IDAHO FALLS, ID 83406-8020
(208) 529-5914
(208) 524-6562
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-967
ID
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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