Clearwater Valley Optical
Clearwater Valley Optical is an Ophthalmology Physician in Lewiston, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
2214 Vineyard AveLewiston, ID 83501-6352
Phone: (208) 743-2241
Fax: (208) 743-5871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ophthalmology Physician (primary) | Taxonomy 207W00000X · Licence M-2629 (ID) |
|---|
Record details
| NPI number | 1457544306 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eugene Baldeck — Physician/Owner · (208) 743-2241 |
| NPI enumerated | August 23, 2007 |
| Last updated in NPPES | August 23, 2007 |
| Mailing address | 2214 Vineyard Ave, Lewiston, ID 83501-6352 |
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