Brent Sexauer, OD | |
1175 W Boise Ave, Boise, ID 83706-3503 | |
(208) 384-9194 | |
Not Available |
Full Name | Brent Sexauer |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 4 Years |
Location | 1175 W Boise Ave, Boise, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013534890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 100508 (Idaho) | Primary |
Provider Name | Idaho Eyecare Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992899181 PECOS PAC ID: 9335105311 Enrollment ID: O20100818000156 |
Provider Name | Family Vision Care Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881327526 PECOS PAC ID: 8527436849 Enrollment ID: O20221117001914 |
Mailing Address | Practice Location Address |
---|---|
Brent Sexauer, OD 685 N 4th E, Mountain Home, ID 83647-2134 Ph: (208) 599-4744 | Brent Sexauer, OD 1175 W Boise Ave, Boise, ID 83706-3503 Ph: (208) 384-9194 |
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