- Optometrist in Coeur D'alene, ID

is a Optometrist based in Coeur D'alene, Idaho. is licensed to practice in * (Not Available) (license number ) and their current practice location is 355 E. Neider Avenue, Coeur D'alene, Idaho. It can be reached at their office (for appointments etc.) via phone at (208) 676-7356.

NPI number for is 1447496427 and their current mailing address is Po Box 2592, Hayden, Idaho. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1447496427.

Contact Information

355 E. Neider Avenue,
Coeur D'alene, ID 83815
(208) 676-7356
(207) 676-7384

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOptometrist
Location355 E. Neider Avenue, Coeur D'alene, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1447496427
  • Provider Enumeration Date: 12/23/2008
  • Last Update Date: 12/23/2008

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447496427NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 2592,
Hayden, ID 83835

Ph: (208) 676-7356

355 E. Neider Avenue,
Coeur D'alene, ID 83815

Ph: (208) 676-7356

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Optometrist in Coeur D'alene, ID