Baird Optical Pc | |
4240 Yellowstone Ave, Chubbuck, ID 83202-2420 | |
(208) 238-2020 | |
(208) 238-2069 |
Full Name | Baird Optical Pc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 4240 Yellowstone Ave, Chubbuck, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013206275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP967 (Idaho) | Primary |
Provider Name | Michael L Baird |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457524555 PECOS PAC ID: 0345275459 Enrollment ID: I20050928000145 |
Mailing Address | Practice Location Address |
---|---|
Baird Optical Pc 966 Old Glory Way, Chubbuck, ID 83202-1779 Ph: (208) 709-0540 | Baird Optical Pc 4240 Yellowstone Ave, Chubbuck, ID 83202-2420 Ph: (208) 238-2020 |
Dr. Ryan Scott Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4240 Yellowstone Ave, Chubbuck, ID 83202 Phone: 208-238-2020 Fax: 208-238-2069 | |
Michael L. Baird, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4240 Yellowstone Ave, Chubbuck, ID 83202 Phone: 208-238-2020 Fax: 208-230-2069 | |
Rsjohnson Od Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4240 Yellowstone Ave, Chubbuck, ID 83202 Phone: 208-241-9145 | |
Dr Wendell R Fackrell Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4145 Yellowstone Ave, Chubbuck, ID 83202 Phone: 801-722-5380 |