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Doctors / ID
OPTOMETRY
Medical school: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 1990
NPI: 1821024050
1616 19TH AVE, PO BOX 1104
Lewiston, ID 835014005
1616 19TH AVE
LEWISTON, ID 835014005
2087463626
Source: CMS National Downloadable File, September 2026.