Lakeside Eyecare
Lakeside Eyecare is an Optometrist in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2009.
- Licensed in
- ID
- In the registry since
- 2009
Practice location Address checks out
312 N 4th StCoeur D Alene, ID 83814-2812
Phone: (208) 676-1422
Fax: (208) 667-7730
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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-100067 (ID) |
|---|
Record details
| NPI number | 1881837243 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Calderwood — Owner · (208) 676-1422 |
| NPI enumerated | April 15, 2009 |
| Last updated in NPPES | February 5, 2010 |
| Mailing address | 312 N 4th St, Coeur D Alene, ID 83814-2812 |
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