Dr Kristan C Sparks, OD in Shelley, ID - Medicare Optometry Provider

Dr Kristan C Sparks, OD is a medicare enrolled "Optometrist" provider in Shelley, Idaho. He went to Pacific University - College Of Optometry and graduated in 1980 and has 45 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Parkway Eyecare P C and his current practice location is 169 S Emerson Ave, Shelley, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 357-5733.

Dr Kristan C Sparks is licensed to practice in Idaho (license number ODP638) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174723332.

Contact Information

	Dr Kristan C Sparks, OD
	169 S Emerson Ave, Shelley, ID 83274-1226
	(208) 357-5733
	(208) 357-2240

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kristan C Sparks
Gender	Male
Speciality	Optometry
Experience	45 Years
Location	169 S Emerson Ave, Shelley, 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.

Medical Education and Training:

Dr Kristan C Sparks attended and graduated from Pacific University - College Of Optometry in 1980

NPI Data:

NPI Number: 1174723332
Provider Enumeration Date: 07/24/2007
Last Update Date: 07/24/2007

Medicare PECOS Information:

PECOS PAC ID: 7618938374
Enrollment ID: I20041029000149

Medical Identifiers

Medical identifiers for Dr Kristan C Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174723332	NPI	-	NPPES
21776	Other	ID	SPECTERA
V5988	Other	ID	BLUE CROSS
90638	Other	ID	VBA
001251300	Medicaid	ID
000010015251	Other	ID	BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	ODP638 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Parkway Eyecare P C	3274594932	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kristan C Sparks allows following entities to bill medicare on his behalf.

Provider Name	Parkway Eyecare P C
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780784769 PECOS PAC ID: 3274594932 Enrollment ID: O20041026000110

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. Dr Kristan C Sparks is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kristan C Sparks, OD Po Box 547, Shelley, ID 83274-0547 Ph: (208) 357-5733	Dr Kristan C Sparks, OD 169 S Emerson Ave, Shelley, ID 83274-1226 Ph: (208) 357-5733

Reviews and Comments

Optometrist in Shelley, ID

Snake River Eye Associates Of Shelley, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 357 W Fir St, Shelley, ID 83274 Phone: 208-881-5145 Fax: 208-881-5146
Dr. Justin Thomas Heintz, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 524 N State St, Shelley, ID 83274 Phone: 208-357-5733 Fax: 208-357-2240
Shelley Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 524 N State St, Shelley, ID 83274 Phone: 208-357-5733 Fax: 208-357-2240

Dr Kristan C Sparks, OD - Medicare Optometrist in Shelley, ID