Organization
NORTH IDAHO EYE CLINICS, INC
Active
Other names
1. Lakeland Eye Clinic 2. Kellogg Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN R MILLER O.D. (PRESIDENT)
(208) 687-0370
Entity
Organization
Contact information
Practice address
15630 N HIGHWAY 41, RATHDRUM, ID 83858-8710
(208) 687-0370
(208) 687-0470
Mailing address
15630 N HIGHWAY 41, RATHDRUM, ID 83858-8710
(208) 687-0370
(208) 687-0470
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100109
ID
Other
Enumeration date
01/25/2007
Last updated
03/14/2008
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