Dr Tobin Jack Hale, OD | |
230 W Mallard Dr, Boise, ID 83706-6600 | |
(208) 342-4841 | |
Not Available |
Full Name | Dr Tobin Jack Hale |
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Gender | Male |
Speciality | Optometrist |
Location | 230 W Mallard Dr, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467973529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2188 (Arizona) | Secondary |
152W00000X | Optometrist | ODP-100592 (Idaho) | Primary |
Provider Name | Tom Sowash Od & Associates Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174627202 PECOS PAC ID: 4284606088 Enrollment ID: O20040811001137 |
Mailing Address | Practice Location Address |
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Dr Tobin Jack Hale, OD 3881 W Farlam Dr, Meridian, ID 83642-1208 Ph: () - | Dr Tobin Jack Hale, OD 230 W Mallard Dr, Boise, ID 83706-6600 Ph: (208) 342-4841 |
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 |