OrganizationActive
Clearwater Valley Optical
NPI 1457544306 · Ophthalmology Physician · Lewiston, ID
Provider details
- NPI number
- 1457544306
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Eugene Baldeck, Physician/Owner
- License
- M-2629 (ID)
Practice location
2214 Vineyard Ave
Lewiston, ID 83501-6352
Phone: (208) 743-2241
Fax: (208) 743-5871
Mailing address
2214 Vineyard Ave
Lewiston, ID 83501-6352
Registry dates
- Enumerated
- 2007-08-23
- Last updated
- 2007-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.