| Ashlyn Clark, | |
|
355 S Eagle Rd, Eagle, ID 83616-5912 | |
| (208) 938-2015 | |
| Not Available |
| Full Name | Ashlyn Clark |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 355 S Eagle Rd, Eagle, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033803358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-100621 (Idaho) | Primary |
| Provider Name | Eagle Vision One Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699845503 PECOS PAC ID: 8921099730 Enrollment ID: O20040520000894 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashlyn Clark, 355 S Eagle Rd, Eagle, ID 83616-5912 Ph: (208) 938-2015 | Ashlyn Clark, 355 S Eagle Rd, Eagle, ID 83616-5912 Ph: (208) 938-2015 |
Adam's Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 3541 W Bavaria St, Eagle, ID 83616 Phone: 208-939-5005 Fax: 208-939-2496 | |
Six One Six Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 27 N Fisher Park Way, Suite 101, Eagle, ID 83616 Phone: 208-514-1858 Fax: 844-840-3190 | |
Craig Moss, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 408 S Eagle Rd Ste 100, Eagle, ID 83616 Phone: 208-939-2773 | |
Jancen H. Walker, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 355 S Eagle Rd, Eagle, ID 83616 Phone: 208-908-2015 | |
Gideon Bender, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 355 S Eagle Rd, Eagle, ID 83616 Phone: 208-938-2015 | |
Eye 2 Eye Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 440 E State St, Suite 140, Eagle, ID 83616 Phone: 208-939-7000 Fax: 208-939-5807 |