| Dennis N. Marshall, O.d., P.a. | |
|
1495 Parkway Dr Ste A, Blackfoot, ID 83221-1639 | |
| (208) 785-3063 | |
| (208) 782-1392 |
| Full Name | Dennis N. Marshall, O.d., P.a. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1495 Parkway Dr Ste A, Blackfoot, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528250180 | NPI | - | NPPES |
| 001261500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-652 (Idaho) | Primary |
| Provider Name | Dennis N Marshall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477548220 PECOS PAC ID: 0345261624 Enrollment ID: I20051214000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis N. Marshall, O.d., P.a. Po Box 40, Blackfoot, ID 83221-0040 Ph: (208) 785-3063 | Dennis N. Marshall, O.d., P.a. 1495 Parkway Dr Ste A, Blackfoot, ID 83221-1639 Ph: (208) 785-3063 |
Lee Brock Wren, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 715 W Judicial St, Blackfoot, ID 83221 Phone: 208-785-2210 Fax: 208-785-2216 | |
Mr. Cody E Jones, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 34 Se Main St, Ste 101, Blackfoot, ID 83221 Phone: 208-785-7274 Fax: 208-785-7337 | |
Dr. Cameron Keith Housley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 720 N Meridian St Ste A, Blackfoot, ID 83221 Phone: 208-785-7274 | |
Bingham Family Vision, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 715 W Judicial St, Blackfoot, ID 83221 Phone: 208-785-2210 Fax: 208-785-2216 | |
Dennis N Marshall, O.D., P.A. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1495 Parkway Dr Ste A, Blackfoot, ID 83221 Phone: 208-785-3063 Fax: 208-782-1392 | |
Complete Family Eye Care, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 34 Se Main St Ste 101, Blackfoot, ID 83221 Phone: 208-785-7274 |