St Maries Vision Center, PLLC
St Maries Vision Center, PLLC is an Optometrist in St Maries, Idaho. Licensed in Idaho. Registered with an NPI since 2017.
- Licensed in
- ID
- In the registry since
- 2017
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
704 W College AveSt Maries, ID 83861-1824
Phone: (208) 245-6563
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence ODP1029 (ID) |
|---|
Record details
| NPI number | 1780190694 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lance Fagan — Owner · (208) 245-6563 |
| Other names | St Maries Vision Center |
| NPI enumerated | December 15, 2017 |
| Last updated in NPPES | December 15, 2017 |
| Mailing address | 704 W College Ave, St Maries, ID 83861-1824 |