Advanced Eyecare Of Blackfoot Pllc | |
1213 Parkway Dr, Blackfoot, ID 83221-1654 | |
(208) 782-3426 | |
(208) 782-3436 |
Full Name | Advanced Eyecare Of Blackfoot Pllc |
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Type | Facility |
Speciality | Optometrist |
Location | 1213 Parkway Dr, Blackfoot, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568610574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Jason N Hurley |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1801859889 PECOS PAC ID: 8022083534 Enrollment ID: I20040828000151 |
Provider Name | Tyler P Zaugg |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215507629 PECOS PAC ID: 1153725791 Enrollment ID: I20210804002901 |
Mailing Address | Practice Location Address |
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Advanced Eyecare Of Blackfoot Pllc 1213 Parkway Dr, Blackfoot, ID 83221-1654 Ph: (208) 782-3426 | Advanced Eyecare Of Blackfoot Pllc 1213 Parkway Dr, Blackfoot, ID 83221-1654 Ph: (208) 782-3426 |
Lee Brock Wren, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 715 W Judicial St, Blackfoot, ID 83221 Phone: 208-785-2210 Fax: 208-785-2216 | |
Mr. Cody E Jones, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 34 Se Main St, Ste 101, Blackfoot, ID 83221 Phone: 208-785-7274 Fax: 208-785-7337 | |
Bingham Family Vision, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 715 W Judicial St, Blackfoot, ID 83221 Phone: 208-785-2210 Fax: 208-785-2216 | |
Dennis N Marshall, O.D., P.A. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1495 Parkway Dr Ste A, Blackfoot, ID 83221 Phone: 208-785-3063 Fax: 208-782-1392 | |
Complete Family Eye Care, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 34 Se Main St Ste 101, Blackfoot, ID 83221 Phone: 208-785-7274 | |
Dennis N. Marshall, O.d., P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1495 Parkway Dr Ste A, Blackfoot, ID 83221 Phone: 208-785-3063 Fax: 208-782-1392 |