Organization
RG VISION EYECARE LLC
Active
Other names
Treasure Valley Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL LAMAR GRAY OD (OWNER)
(208) 871-2936
Entity
Organization
Contact information
Practice address
129 W GALVANI DR STE 100, MERIDIAN, ID 83642-8008
(208) 871-2936
(208) 231-8595
Mailing address
129 W GALVANI DR STE 100, MERIDIAN, ID 83642-8008
(208) 254-2183
(208) 281-3697
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ODP-100476
OD LICENSE NUMBER
ID
Enumeration date
12/09/2024
Last updated
03/06/2026
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