Gideon Bender

Optometrist · Eagle, ID

Individual Active NPI

NPI number 1386166312

Practice location

355 S Eagle Rd
Eagle, ID 83616-5912
Phone
(208) 938-2015

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NPI record

NPI
1386166312
Entity type
Individual (Type 1)
Enumeration date
July 12, 2017
Last updated
July 12, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X ODP-100410 ID

About Gideon Bender

Gideon Bender is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 355 S Eagle Rd, Eagle, ID 83616-5912. The NPI number 1386166312 was assigned on July 12, 2017 and the record was last updated on July 12, 2017.

Gideon Bender lists a license in the registry: #ODP-100410 (ID) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gideon Bender?

The NPI number is 1386166312.

What is the phone number of Gideon Bender?

The phone number listed for the practice location is (208) 938-2015.

Where is Gideon Bender located?

355 S Eagle Rd, Eagle, ID 83616-5912.

What is the taxonomy code for Gideon Bender?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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