Coeur Dalene Vision Source
Coeur Dalene Vision Source is an Optometrist in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
3879 N Schreiber WayCoeur D Alene, ID 83815-8362
Phone: (208) 765-2020
Fax: (208) 765-1460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence ODP845 (ID) |
|---|
Record details
| NPI number | 1598881351 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raymond Greene — Optometrist · (208) 765-2020 |
| NPI enumerated | March 22, 2007 |
| Last updated in NPPES | June 19, 2023 |
| Certification date | June 19, 2023 |
| Mailing address | 3879 N Schreiber Way, Coeur D Alene, ID 83815-8362 |
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