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Blackfoot Vision Care Associates — NPI 1629464052, Blackfoot, ID | NPI Central

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NPI 1629464052

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Blackfoot Vision Care Associates

NPI 1629464052 · Optometrist · Blackfoot, ID

Provider details

NPI number: 1629464052
Entity type: Organization
Primary specialty: OptometristEye and Vision Services Providers
Organization subpart: No
Authorized official: Gary Lattimore, Optometrist(208) 785-2025

Specialties & taxonomies

OptometristPrimary152W00000X
Eye and Vision Services Providers

Practice location

34 Se Main St

Blackfoot, ID 83221-5094

Phone: (208) 785-2025

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

34 Se Main St

Blackfoot, ID 83221-5094

Registry dates

Enumerated: 2015-04-13
Last updated: 2015-04-13

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