OrganizationActive
Bear River Vision, PC
NPI 1699717173 · Optometrist · Soda Springs, ID
Provider details
- NPI number
- 1699717173
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Terry Sanderson, Owner(208) 547-2114
- License
- 0-536 (ID)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
380 S 3rd W
Soda Springs, ID 83276-1559
Phone: (208) 547-2114
Approximate (ZIP-level) locationGet directions
Mailing address
380 S 3rd W
Soda Springs, ID 83276-1559
Registry dates
- Enumerated
- 2006-06-11
- Last updated
- 2007-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.