SearchIdahoOptometrist

Gary Lattimore, OD

NPI 1902863293 · on the registry since 2006 · sole proprietor

Practice

Address
501 S Woodruff Ave
Idaho Falls, ID 83401
Phone
(208) 522-6271
Fax
(208) 522-7217
Organisation at this address
A Joint Venture
Gary J Lattimore
For Your Eyes Only, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

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
2010-01-22

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