Bruce W Hamerl O D P C | |
8300 W Overland Rd, Boise, ID 83709-1639 | |
(208) 321-9082 | |
(208) 321-9179 |
Full Name | Bruce W Hamerl O D P C |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 8300 W Overland Rd, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801001979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-847 (Idaho) | Primary |
Provider Name | Bruce Wendell Hamerl |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1114026606 PECOS PAC ID: 8729378229 Enrollment ID: I20221101000297 |
Mailing Address | Practice Location Address |
---|---|
Bruce W Hamerl O D P C 3384 S Coleridge Pl, Boise, ID 83706-5584 Ph: (208) 321-9082 | Bruce W Hamerl O D P C 8300 W Overland Rd, Boise, ID 83709-1639 Ph: (208) 321-9082 |
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Dr. Lavar W Kofoed, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 291 N Milwaukee St, Boise, ID 83704 Phone: 208-378-7020 Fax: 208-378-9460 | |
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