Elmore County Eyecare, Pa. | |
855 West 6th South, Mountain Home, ID 83647-3335 | |
(208) 587-2020 | |
(208) 587-3349 |
Full Name | Elmore County Eyecare, Pa. |
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Type | Facility |
Speciality | Optometrist |
Location | 855 West 6th South, Mountain Home, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003973736 | NPI | - | NPPES |
1568427615 | Medicaid | ID | |
1003973736 | Medicaid | ID | |
1316038409 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-995, ODP-966 (Idaho) | Primary |
Provider Name | Nathan C Price |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316038409 PECOS PAC ID: 5193895324 Enrollment ID: I20120312000118 |
Provider Name | Jeffrey Eugene Gibbons |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568427615 PECOS PAC ID: 7911077144 Enrollment ID: I20120625000339 |
Provider Name | Kyle J Kenison |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750370730 PECOS PAC ID: 9739323791 Enrollment ID: I20150124000026 |
Mailing Address | Practice Location Address |
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Elmore County Eyecare, Pa. 855 W 6th S, Mountain Home, ID 83647-3335 Ph: (208) 587-2020 | Elmore County Eyecare, Pa. 855 West 6th South, Mountain Home, ID 83647-3335 Ph: (208) 587-2020 |
Mountain Home Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 265 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8415 Fax: 208-587-8416 | |
Dr. Nathan Curran Price, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 855 W 6th S, Mountain Home, ID 83647 Phone: 208-587-2020 Fax: 208-587-3349 | |
Dr. Jeffrey Eugene Gibbons, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 855 W 6th S, Mountain Home, ID 83647 Phone: 208-587-2020 Fax: 208-587-3349 | |
Kyle J Kenison, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 855 West 6th South, Mountain Home, ID 83647 Phone: 208-587-2020 Fax: 208-587-3349 | |
Dr. Jonathan Paul Norris, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 265 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8415 Fax: 208-587-8416 | |
Family Vision Care Inc Optometrist Medicare: Medicare Enrolled Practice Location: 455 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-3661 |