1. Lakeland Eye Clinic 2. Kellogg Vision Center is a medicare enrolled "Optometrist" provider in Rathdrum, Idaho. Their current practice location is
15630 N Highway 41, Rathdrum, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 687-0370.
1. Lakeland Eye Clinic 2. Kellogg Vision Center is licensed to practice in Idaho (license number ODP-100109) and it also participates in the medicare program. 1. Lakeland Eye Clinic 2. Kellogg Vision Center
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1972658169.
Healthcare Provider's Profile
Full Name | 1. Lakeland Eye Clinic 2. Kellogg Vision Center |
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Type | Facility |
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Speciality | Optometrist |
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Location | 15630 N Highway 41, Rathdrum, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972658169
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 03/14/2008
Medicare PECOS Information:
- PECOS PAC ID: 5698874519
- Enrollment ID: O20070619000093
Medical Identifiers
Medical identifiers for 1. Lakeland Eye Clinic 2. Kellogg Vision Center such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972658169 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | ODP-100109 (Idaho) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
1. Lakeland Eye Clinic 2. Kellogg Vision Center acts as a billing entity for following providers:
Provider Name | Brian R Miller |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1710978473 PECOS PAC ID: 1254430176 Enrollment ID: I20070619000081 |
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Provider Name | Brian P Finley |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1649571118 PECOS PAC ID: 8325272495 Enrollment ID: I20221028002591 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. 1. Lakeland Eye Clinic 2. Kellogg Vision Center is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
1. Lakeland Eye Clinic 2. Kellogg Vision Center 15630 N Highway 41, Rathdrum, ID 83858-8710 Ph: (208) 687-0370 | 1. Lakeland Eye Clinic 2. Kellogg Vision Center 15630 N Highway 41, Rathdrum, ID 83858-8710 Ph: (208) 687-0370 |
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