Armstrong-root Opticians | |
649 Sun Valley Road, Ketchum, ID 83340 | |
(208) 726-4250 | |
(208) 727-0082 |
Full Name | Armstrong-root Opticians |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 649 Sun Valley Road, Ketchum, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629368725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-100012 (Idaho) | Primary |
156FX1800X | Technician/technologist - Optician | 148134 (California) | Secondary |
Provider Name | Matthew E Kent |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1487648952 PECOS PAC ID: 5597795609 Enrollment ID: I20050818000384 |
Provider Name | William T Black |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063591162 PECOS PAC ID: 0143390047 Enrollment ID: I20080804000317 |
Provider Name | Brian P Jensen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1396944773 PECOS PAC ID: 2163515867 Enrollment ID: I20120803000686 |
Provider Name | Paul C Neville |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023306966 PECOS PAC ID: 7315201506 Enrollment ID: I20180516002322 |
Mailing Address | Practice Location Address |
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Armstrong-root Opticians Po Box 6, Sun Valley, ID 83353-0006 Ph: (208) 726-4250 | Armstrong-root Opticians 649 Sun Valley Road, Ketchum, ID 83340 Ph: (208) 726-4250 |
Ketchum Eyecenter Optometrist Medicare: Not Enrolled in Medicare Practice Location: 180 1st Ave N, Ketchum, ID 83340 Phone: 208-726-3363 Fax: 208-726-0138 | |
Kyle J Williams, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 180 1st Ave N, Ketchum, ID 83340 Phone: 208-726-3363 Fax: 208-726-0138 |