Bear River Vision, LLC
Organization Active NPI Optometrist · Soda Springs, ID
NPI 1922115443 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1922115443
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 0-536 (ID)
- Legal business name
- BEAR RIVER VISION, LLC
- Practice address
- 380 S 3Rd W
Soda Springs, ID 83276-1559 - Phone
- (208) 547-2114
- Fax
- (208) 547-2020
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Terry Howard Sanderson, O.D.
- Title
- Optometry/Owner
- Phone
- (208) 547-2114
Practitioners 4
-
Jeffrey Paul Collins, O.D.
-
Terry H. Sanderson, O.D.
-
Dean I Brown, OD
-
Jeffrey Paul Tipton, O.D.
National Provider Directory
Locations
380 S 3rd W
Soda Springs, ID 83276
Phone (208) 547-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 0-536 | ID | Yes |
Addresses
Primary practice location
380 S 3Rd W
Soda Springs, ID 83276-1559
Mailing address
380 S 3Rd W
Soda Springs, ID 83276-1559
Phone (208) 547-2114
Other providers in Soda Springs, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.