Miles Poole, OD Valid NPI
Individual provider · Optometrist · Eagle, ID
- NPI
- 1023764040
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- ODP-100530 (ID)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-02-28
- Last updated
- 2022-02-28
Practice location
225 S Linder Rd Apt A305
Eagle, ID 83616-4421
(208) 514-9315