IndividualActive
Amy Neideffer
NPI 1114663291 · Optometrist · Caldwell, ID
Provider details
- NPI number
- 1114663291
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 3189 (OK)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Student, Health Care
Practice location
1702 S Kimball Ave
Caldwell, ID 83605-4826
Phone: (208) 459-2641
Fax: (208) 459-2895
Approximate (ZIP-level) locationGet directions
Mailing address
1702 S Kimball Ave
Caldwell, ID 83605-4826
Registry dates
- Enumerated
- 2022-05-11
- Last updated
- 2023-08-14
- Certified
- 2023-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.