Owen Shirts, O.D

NPI 1477612273 · on the registry since 2006 · sole proprietor

Practice

Address: 838 S Woodruff Ave
Idaho Falls, ID 83401
Phone: (208) 523-3937
Fax: (208) 523-4251
Organisation at this address: Bonneville Vision, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Optometrist
152W00000X
Also registered as: Corneal and Contact Management Optometrist
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-03-07

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