Dr Wendell R Fackrell Pllc | |
4145 Yellowstone Ave, Chubbuck, ID 83202-2421 | |
(801) 722-5380 | |
Not Available |
Full Name | Dr Wendell R Fackrell Pllc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 4145 Yellowstone Ave, Chubbuck, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801171293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Wendell R Fackrell Pllc 4145 Yellowstone Ave, Chubbuck, ID 83202-2421 Ph: () - | Dr Wendell R Fackrell Pllc 4145 Yellowstone Ave, Chubbuck, ID 83202-2421 Ph: (801) 722-5380 |
Baird Optical Pc Optometrist Medicare: Medicare Enrolled Practice Location: 4240 Yellowstone Ave, Chubbuck, ID 83202 Phone: 208-238-2020 Fax: 208-238-2069 | |
Dr. Ryan Scott Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4240 Yellowstone Ave, Chubbuck, ID 83202 Phone: 208-238-2020 Fax: 208-238-2069 | |
Michael L. Baird, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4240 Yellowstone Ave, Chubbuck, ID 83202 Phone: 208-238-2020 Fax: 208-230-2069 | |
Rsjohnson Od Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4240 Yellowstone Ave, Chubbuck, ID 83202 Phone: 208-241-9145 |