Sparhawk, Justin David

Sparhawk, Justin David is an individual health care provider with primary practice located at 2025 12Th Ave Rd , Nampa ID 83686-6459. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Sparhawk, Justin David can be contacted via phone (208) 461-1000.

Contact Information

Primary practice address
2025 12Th Ave Rd Nampa ID 83686-6459
Phone: (208) 461-1000
Fax: (208) 461-0969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100122 Idaho
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X ODP-100122 Idaho

Profile Details

NPI number 1669552048
LBN Legal business name Sparhawk, Justin David
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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