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Teton Valley Vision Pc

Teton Valley Vision Pc is a health care provider in Victor, ID. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 7389 S Hwy 33, Ste B, Victor, ID 83455, US
Practice Location Phone208-787-3937
Practice Location Fax
Legal Business NameTETON VALLEY VISION PC
NPI ?1073918173
Entity TypeOrganization
Enumeration Date ? Oct 31, 2014
Last Update Date ? Oct 31, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Teton Valley Vision Pc

SpecialtySpecializationLicenseLicense State
Optometrist ODP-100009Idaho

official-icon Authorized Official of Teton Valley Vision Pc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Teton Valley Vision Pc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Thomas Simmons (O.D.)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number208-787-39397