Organization Name: | SCOTT BURNS TAYLOR |
NPI Number: | 1427256288 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DUSTIN J JONES (OWNER) |
Mailing Address: | 1301 Main St Suite 10 Salmon |
State: | ID US |
Postal Code: | 834674453 |
Phone Number: | 2087564811 |
Fax Number: | 2087563741 |
NPI Enumeration Date: | 07/03/2007 |
NPI Last Update Date: | 02/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | ODP-100011 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |