Dennis Radford, OD | |
700 E 17th St, Idaho Falls, ID 83404-6152 | |
(208) 522-2839 | |
Not Available |
Full Name | Dennis Radford |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 18 Years |
Location | 700 E 17th St, Idaho Falls, 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 |
---|---|---|---|
1457461261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-100115 (Idaho) | Primary |
Provider Name | Snake River Eye Associates Of Shelley Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366794299 PECOS PAC ID: 2365695715 Enrollment ID: O20130116000091 |
Mailing Address | Practice Location Address |
---|---|
Dennis Radford, OD Po Box 3469, Idaho Falls, ID 83403-3469 Ph: (208) 525-2090 | Dennis Radford, OD 700 E 17th St, Idaho Falls, ID 83404-6152 Ph: (208) 522-2839 |
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Dr. Leon C Peterson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 501 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-522-6271 Fax: 208-522-7217 | |
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