Dr Jay Leslie Borgholthaus, OD | |
301 S 4th Ave # C-2, Pocatello, ID 83201-6462 | |
(208) 637-0841 | |
(208) 237-6922 |
Full Name | Dr Jay Leslie Borgholthaus |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 33 Years |
Location | 301 S 4th Ave # C-2, Pocatello, 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 |
---|---|---|---|
1952353716 | NPI | - | NPPES |
000308200 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-865 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Eyecare Pllc | 4284867888 | 7 |
Provider Name | Summit Eyecare Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992138432 PECOS PAC ID: 4284867888 Enrollment ID: O20140506001941 |
Mailing Address | Practice Location Address |
---|---|
Dr Jay Leslie Borgholthaus, OD 301 S 4th Ave # C-2, Pocatello, ID 83201-6462 Ph: (208) 637-0841 | Dr Jay Leslie Borgholthaus, OD 301 S 4th Ave # C-2, Pocatello, ID 83201-6462 Ph: (208) 637-0841 |
Dr. Arnel Roy Baird, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 S 4th Ave, C-2, Pocatello, ID 83201 Phone: 208-637-0841 Fax: 208-237-6922 | |
Alameda Vision Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1155 Pocatello Creek Rd, Pocatello, ID 83201 Phone: 208-233-2020 Fax: 208-233-2021 | |
Jamie Thomas, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1155 Pocatello Creek Rd, Pocatello, ID 83201 Phone: 208-233-2020 Fax: 208-233-2021 | |
Gary Steven Anderson, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 360 S Arthur Ave, Pocatello, ID 83204 Phone: 208-232-6675 | |
Cory Zwahlen, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 305 W Quinn Rd, Pocatello, ID 83201 Phone: 208-238-4040 | |
2020 Family Eyecare Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 S 4th Ave, #c-2, Pocatello, ID 83201 Phone: 208-637-0841 | |
Dr. Daniel Christopher Kunz, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4191 Poleline Rd Ste C, Pocatello, ID 83202 Phone: 208-239-7927 |