| JD Optometrics, LLC | |
|
1201 S 25th E Ammon ID 83406-5729 | |
| (208) 524-8978 | |
| Not Available |
| Full Name | JD Optometrics, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 1201 S 25th E, Ammon, Idaho |
| Authorized Official Name and Position | Joshua G Davis (OPTOMETRIST/PRESIDENT) |
| Authorized Official Contact | 2087571227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| JD Optometrics, LLC 1201 S 25th E Ammon ID 83406-5729 Ph: (208) 524-8978 | JD Optometrics, LLC 1201 S 25th E Ammon ID 83406-5729 Ph: (208) 524-8978 |
| NPI Number | 1790027332 |
|---|---|
| Provider Enumeration Date | 03/21/2013 |
| Last Update Date | 04/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790027332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ODP 100167 (Idaho) | Primary |
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