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Mitch Merrill, O.D
NPI 1518631282 · on the registry since 2021 · sole proprietor
Practice
- Address
- 74 E 1st S
Rexburg, ID 83440 - Phone
- (208) 356-6911
- Fax
- (208) 356-3185
- Organisation at this address
- Eagle Vision Center Pc
Canyon View Eyecare PllcInferred from a shared address, not stated in the registry.
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
- 2021-08-20
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