DR. KRISTAN SPARKS, O.D.

Optometrist

Active Individual
NPI: 1174723332

Practice Address

169 S EMERSON AVE
Shelley, ID 83274

Phone: (208) 357-5733

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes ODP638 (ID)

Frequently Asked Questions

NPI 1174723332 is the National Provider Identifier for DR. KRISTAN SPARKS, O.D., a Optometrist provider located in Shelley, ID. This NPI was enumerated on July 24, 2007.
DR. KRISTAN SPARKS, O.D. practices at 169 S EMERSON AVE, Shelley, ID 83274.

Quick Facts

NPI
1174723332
Type
Individual
Enumerated
Jul 24, 2007
Last Updated
Jul 24, 2007