IndividualActive
Carolee Cutler Peck, M.D., M.P.H.
NPI 1588899488 · Ophthalmic Plastic and Reconstructive Surgery Physician · Ammon, ID
Provider details
- NPI number
- 1588899488
- Entity type
- Individual
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., M.P.H.
- Sex
- Female
- Sole proprietor
- Yes
- License
- M-15305 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3365 Chasewood Drive
Ammon, ID 83406
Phone: (208) 228-5555
Fax: (208) 228-0077
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 50678
Idaho Falls, ID 83405-0678
Registry dates
- Enumerated
- 2009-05-20
- Last updated
- 2024-10-15
- Certified
- 2024-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.