Diamond Peak Idaho
Diamond Peak Idaho is an Optometrist in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2015.
- Licensed in
- ID
- In the registry since
- 2015
Practice location Address checks out
1450 N 2nd ERexburg, ID 83440-5131
Phone: (208) 497-6406
Fax: (208) 359-3007
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence ODP-959 (ID) |
|---|
Record details
| NPI number | 1588039127 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wade Demordaunt — Owner · (925) 222-1957 |
| NPI enumerated | December 8, 2015 |
| Last updated in NPPES | February 4, 2016 |
| Mailing address | Po Box 158, Rexburg, ID 83440-0158 |
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