Andrew Ball, OD | |
6700 W Emerald St, Boise, ID 83704-8727 | |
(208) 336-7100 | |
Not Available |
Full Name | Andrew Ball |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 6700 W Emerald St, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275233637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-100594 (Idaho) | Primary |
Provider Name | Terrence J Reynolds |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386628162 PECOS PAC ID: 4981707841 Enrollment ID: I20070313000610 |
Mailing Address | Practice Location Address |
---|---|
Andrew Ball, OD 7613 W Packsaddle Ct, Boise, ID 83709-7901 Ph: () - | Andrew Ball, OD 6700 W Emerald St, Boise, ID 83704-8727 Ph: (208) 336-7100 |
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