Search › Idaho › 152W00000X
Jared Ivie, O.D
NPI 1285862599 · on the registry since 2009
Practice
- Address
- 2405 Jafer Ct
Idaho Falls, ID 83404 - Phone
- (208) 529-2700
- Fax
- (208) 529-0873
- Organisation at this address
- Ivie Family Vision Pa
Idaho Family Vision PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho