OrganizationActive
Aspen Ridge Eye Care, PLLC
NPI 1023223187 · Optometrist · Ammon, ID
Provider details
- NPI number
- 1023223187
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jerry Carlson, Owner(208) 528-6900
- License
- ODP-100104 (ID)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
3456 E 17th St
Suite 150
Ammon, ID 83406-6757
Phone: (208) 528-6900
Fax: (208) 528-6904
Approximate (ZIP-level) locationGet directions
Mailing address
3456 E 17th St
Ammon, ID 83406-6757
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2013-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.