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Contact Information

JENNIFER E ERICKSON, OD
3330 4TH ST
LEWISTON, ID83501-4405
 Phone: 208-746-2025
 Fax: 208-746-2025
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JENNIFER E ERICKSON · (Female)

NPI # 1497134399
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/25/2015
Last updated 08/01/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • ID License # ODP-100359
  • WA License # OD60644428
  • ID Medicaid 1497134399
  • WA Medicaid 2064914
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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