Mr Brandon Clark Hicks, OD | |
999 N Curtis Suite 205, Boise, ID 83706-1336 | |
(208) 373-1200 | |
(208) 373-1216 |
Full Name | Mr Brandon Clark Hicks |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 14 Years |
Location | 999 N Curtis Suite 205, Boise, 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 |
---|---|---|---|
1679887756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 7719282-9934 (Utah) | Secondary |
152W00000X | Optometrist | ODP-100580 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Eye And Laser Centers Pllc | 6800709502 | 10 |
Provider Name | Intermountain Eye And Laser Centers Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730119611 PECOS PAC ID: 6800709502 Enrollment ID: O20031110000142 |
Mailing Address | Practice Location Address |
---|---|
Mr Brandon Clark Hicks, OD 999 N Curtis Suite 205, Boise, ID 83706-1336 Ph: (208) 373-1200 | Mr Brandon Clark Hicks, OD 999 N Curtis Suite 205, Boise, ID 83706-1336 Ph: (208) 373-1200 |
Vision Quest Medical Center, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-377-3937 Fax: 208-377-9455 | |
Dr. Gregory N Bodily, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 610 Americana Blvd, Boise, ID 83702 Phone: 208-344-2020 Fax: 208-344-2371 | |
Brent Sexauer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1175 W Boise Ave, Boise, ID 83706 Phone: 208-384-9194 | |
J. Randall Pitman & Associates, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2051 S Cole Rd, Boise, ID 83709 Phone: 208-672-1200 Fax: 208-321-8728 | |
Dr. James W Vail, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3417 N Cole Rd, Boise, ID 83704 Phone: 208-377-1102 Fax: 208-377-5853 | |
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 | |
Dr. Paul Christian Neville, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 305 E Jefferson St, Boise, ID 83712 Phone: 208-381-6910 |