NPI Index

MR. WILLIAM BLACK, OD

Optometrist

Active Individual
NPI: 1063591162

Practice Address

420 E ELM ST
Caldwell, ID 83605

Phone: (208) 459-2020

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes ID0857 (ID)

Frequently Asked Questions

NPI 1063591162 is the National Provider Identifier for MR. WILLIAM BLACK, OD, a Optometrist provider located in Caldwell, ID. This NPI was enumerated on November 2, 2006.
MR. WILLIAM BLACK, OD practices at 420 E ELM ST, Caldwell, ID 83605.

Quick Facts

NPI
1063591162
Type
Individual
Enumerated
Nov 2, 2006
Last Updated
Aug 30, 2012

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