OrganizationActive
Idaho Vision Development Center PLLC
NPI 1952963399 · Vision Therapy Optometrist · Ammon, ID
Provider details
- NPI number
- 1952963399
- Entity type
- Organization
- Primary specialty
- Vision Therapy OptometristEye and Vision Services Providers
- Authorized official
- Daniel Nielson, Optometrist
Practice location
1536 Midway Dr
Ammon, ID 83406-6912
Phone: (208) 227-8822
Fax: (208) 227-8966
Mailing address
1536 Midway Dr
Ammon, ID 83406-6912
Registry dates
- Enumerated
- 2019-07-06
- Last updated
- 2019-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.