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NPI 1154493708

OrganizationActive

Associated Westside Optometric Clinic P.A.

NPI 1154493708 · Optometrist · Idaho Falls, ID

Provider details

NPI number: 1154493708
Entity type: Organization
Primary specialty: OptometristEye and Vision Services Providers
Authorized official: Douglas Hilborn, Owner
License: ODP-546 (ID)

Practice location

1991 W Broadway St Ste 2

Idaho Falls, ID 83402-3041

Phone: (208) 529-4333

More ID providers

Mailing address

1991 W Broadway St Ste 2

Idaho Falls, ID 83402-3041

Registry dates

Enumerated: 2006-11-15
Last updated: 2020-08-22

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

Associated Westside Optometric Clinic P.A. — NPI 1154493708, Idaho Falls, ID | NPI Central