SOUTHERN IDAHO VISION ALLIANCE,PLLC
Optometry at Trail Creek Cir, Twin Falls, ID

License number
Idaho ODP-495
Category
Optometry
Type
Optometrist
Owner
Name: JON E HEITZMAN OD
Title: CEO
Phone: (208) 735-0036
Address
Address
2051 Trail Creek Cir, Twin Falls, ID 83301
National Provider ID: 1427169416
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SOUTHERN IDAHO VISION ALLIANCE P.L.L.C

2051 Trl Crk Cir, Twin Falls, ID 83301

Status:
Inactive
Industry:
Optometrist's Office
Doing business as:
Southern Idaho Vision Alliance, Pllc
Registration:
Aug 15, 2003
Inactive since:
Nov 14, 2013
State ID:
W25595
Business type:
Limited Liability Company
Chief Executive Officer:
Jon E. Heitzman (Chief Executive Officer)
Agent:
Jon E Heitzman Od,2051 Trl Crk Cir, Twin Falls, ID 83301 (Physical)

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