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Gideon Bender
NPI 1386166312 · on the registry since 2017
Practice
- Address
- 355 S Eagle Rd
Eagle, ID 83616 - Phone
- (208) 938-2015
- Organisation at this address
- Eagle Vision One Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-07-12
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