Stephen Brockbank OD LLC
Stephen Brockbank OD LLC is an Optometrist in Lewiston, Idaho. Licensed in Idaho. Registered with an NPI since 2009.
- Licensed in
- ID
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3510 12th St Ste 400Lewiston, ID 83501-5575
Phone: (208) 743-5830
Fax: (208) 743-5831
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 ODP100049 (ID) |
|---|
Record details
| NPI number | 1750511184 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Brockbank — Optometrist/Officer · (208) 883-1800 |
| Other names | Alpine Vision Center |
| NPI enumerated | July 20, 2009 |
| Last updated in NPPES | September 11, 2009 |
| Mailing address | 3510 12th St, Suite 400, Lewiston, ID 83501-5575 |
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Dr. Eric Weston Woodward, OD
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