Dr Paul M Brewer, OD | |
2100 12th Ave Rd, Nampa, ID 83686-6441 | |
(208) 467-5293 | |
Not Available |
Full Name | Dr Paul M Brewer |
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Gender | Male |
Speciality | Optometrist |
Location | 2100 12th Ave Rd, Nampa, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396120234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-100357 (Idaho) | Primary |
152W00000X | Optometrist | OPT 15241 TLG (California) | Secondary |
Provider Name | Infinite Vision Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326582446 PECOS PAC ID: 4688002009 Enrollment ID: O20200318002524 |
Mailing Address | Practice Location Address |
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Dr Paul M Brewer, OD 13601 W Mcmillan Rd, Suite 102-172, Boise, ID 83713-2025 Ph: (208) 467-5293 | Dr Paul M Brewer, OD 2100 12th Ave Rd, Nampa, ID 83686-6441 Ph: (208) 467-5293 |
James K Dean, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 343 W Iowa Ave, Nampa, ID 83686 Phone: 208-467-0001 Fax: 208-466-2205 | |
Dr. Lorance Wilson Harwood, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 820 W Tropical Dr, Nampa, ID 83686 Phone: 208-442-1683 Fax: 208-442-1683 | |
Pinnacle Vision Care, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1213 North Jacob Allcott Way, Nampa, ID 83687 Phone: 208-461-2010 Fax: 208-461-2013 | |
Eyecare Associates Of Nampa Pa Optometrist Medicare: Medicare Enrolled Practice Location: 310 2nd St S, Nampa, ID 83651 Phone: 208-467-1361 Fax: 208-467-9008 | |
Timothy Scott Gibbons, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 2nd St S, Nampa, ID 83651 Phone: 208-467-1361 Fax: 208-467-9008 | |
Dr. Daniel L Tiller, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 901 12th Ave S, Nampa, ID 83651 Phone: 208-466-9251 Fax: 208-463-1714 | |
Alexandra Hollingshead Wilson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 901 12th Ave S, Nampa, ID 83651 Phone: 208-466-9251 |