Search › Idaho › 152W00000X
Trevor Dickson, OD
NPI 1588280176 · on the registry since 2020 · sole proprietor
Practice
- Address
- 500 S Utah Ave
Idaho Falls, ID 83402 - Phone
- (208) 709-5371
- Organisation at this address
- Walmart Inc.
Wal-Mart Stores, Inc
Eyedaho Optometric Llc
Eyedaho Optometric Llc
Golden Eye-Care P.L.L.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
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
- 2020-06-19
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