Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY J LATTIMORE, OD
Active Sole ProprietorDR. GARY J LATTIMORE, OD is a Optometrist healthcare provider located in IDAHO FALLS, Idaho. NPI 1902863293 is currently active in the NPPES registry. Verify at CMS.
Optometrist · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1902863293
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2006 (20.110197185037 yrs)
- Last Updated
- Jan 22, 2010
- License
-
0505 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
501 S WOODRUFF AVEIDAHO FALLS, ID, 834015200Browse ID providers · Browse ZIP 83401
- Phone
- 2085226271
- Fax
- 2085227217
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. DOUGLAS JAMES HILBORN | OD | 1831182682 |
| ALAN PAUL ADAMSON | O.D | 1790762524 |
| DR. DREW C DAYTON | O.D. | 1740231737 |
| DR. SCOTT W. HOMER | O.D. | 1760433684 |
| DR. LEON C PETERSON | O.D. | 1013943828 |
| DR. LISA L. PORTER | O.D. | 1215962915 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.