Organization
IVIE FAMILY VISION PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED REESE IVIE O.D. (OWNER/OPTOMETRIST)
(208) 529-2700
Entity
Organization
Contact information
Practice address
2405 JAFER CT, IDAHO FALLS, ID 83404-5587
(208) 529-2700
(208) 529-0873
Mailing address
2405 JAFER CT, IDAHO FALLS, ID 83404-5587
(208) 529-2700
(208) 529-0873
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP100241
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285852599
—
ID
Enumeration date
08/06/2014
Last updated
06/21/2023
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