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General NPI Number Information
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NPI Number | 1366322737
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Entity Type | Organization
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Legal Business Name | DRIGGS EYECARE, PLLC
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 180 S MAIN ST STE B2
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City | DRIGGS
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State | ID
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Zip | 83422-5034
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Country | US
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Telephone | 207-651-6816
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Fax |
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Provider Business Mailing Address
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Address Line | 180 S MAIN ST STE B2
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City | DRIGGS
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State | ID
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Zip | 83422-5034
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Country | US
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Telephone | 208-471-8721
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Fax | 208-471-8727
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. ELIZA MARGUERITE WHATLEY MARTIN
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Credential | OD
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Telephone | 208-471-8721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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