Dallas Stevens, | |
1232 Pleasantview, Rexburg, ID 83440-5316 | |
(208) 709-7314 | |
Not Available |
Full Name | Dallas Stevens |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 15 Years |
Location | 1232 Pleasantview, Rexburg, 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 |
---|---|---|---|
1174775332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-100186 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Luke A. Randall Pllc | 2365623311 | 2 |
Provider Name | Luke A. Randall Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184925737 PECOS PAC ID: 2365623311 Enrollment ID: O20110223000728 |
Mailing Address | Practice Location Address |
---|---|
Dallas Stevens, 4255 W Sugarberry Ct, Eagle, ID 83616-7266 Ph: (208) 709-7314 | Dallas Stevens, 1232 Pleasantview, Rexburg, ID 83440-5316 Ph: (208) 709-7314 |
Dr. Kreed Bowman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 76 Professional Plz, Rexburg, ID 83440 Phone: 208-356-4585 Fax: 208-356-4587 | |
Dr. Bryce Byram Thueson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 76 Professional Plz, Rexburg, ID 83440 Phone: 208-356-4585 Fax: 208-356-4587 | |
Canyon View Eyecare Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 74 E 1st S, Rexburg, ID 83440 Phone: 208-356-6911 | |
Dr. Nathan Cody Mortensen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 49 E 1st S, Rexburg, ID 83440 Phone: 208-356-4444 | |
Dr. Douglass Eugene Hanson, OPTOMETRIST Optometrist Medicare: Medicare Enrolled Practice Location: 24 E Main St, Rexburg, ID 83440 Phone: 208-356-0881 Fax: 208-359-9680 | |
Dr. Dallin Heiner, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 244 E Main St, Rexburg, ID 83440 Phone: 208-359-1880 Fax: 208-359-2025 |