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NPI 1093367971

OrganizationActive

Bonneville Vision, PLLC

NPI 1093367971 · Optometrist · Idaho Falls, ID

Provider details

NPI number: 1093367971
Entity type: Organization
Primary specialty: OptometristEye and Vision Services Providers
Authorized official: Nathan Housley, Managing Member

Practice location

838 S Woodruff Ave

Idaho Falls, ID 83401-5296

Phone: (208) 523-3937

More ID providers

Mailing address

838 S Woodruff Ave

Idaho Falls, ID 83401-5296

Registry dates

Enumerated: 2019-07-11
Last updated: 2019-07-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bonneville Vision, PLLC — NPI 1093367971, Idaho Falls, ID | NPI Central