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Search › Idaho › 152W00000X

John Rietz, OD

NPI 1821024050 · on the registry since 2006 · sole proprietor

Practice

Address
1616 19th Ave
Lewiston, ID 83501
Phone
(208) 746-3626
Fax
(208) 746-1636
Organisation at this address
John T Rietz
Lewiston'S Vision Source Pllc
Inferred 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
2009-11-05

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