Emmett Vision Center | |
1108 S Washington Ave, Emmett, ID 83617-3535 | |
(208) 365-2020 | |
(208) 365-3854 |
Full Name | Emmett Vision Center |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1108 S Washington Ave, Emmett, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811269350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP 100-152 (Idaho) | Primary |
Provider Name | Lee J Carter |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891789368 PECOS PAC ID: 6608896980 Enrollment ID: I20051206000318 |
Provider Name | Trenton Warner |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1184823049 PECOS PAC ID: 7618056763 Enrollment ID: I20111007000281 |
Provider Name | Jason Marc Petersen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407235948 PECOS PAC ID: 7517275621 Enrollment ID: I20151008002097 |
Provider Name | Jason Howard |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720436744 PECOS PAC ID: 7911291992 Enrollment ID: I20160815001085 |
Provider Name | Kendon Delbert Seamons |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164915534 PECOS PAC ID: 7214280924 Enrollment ID: I20181026000648 |
Provider Name | Timothy S Gibbons |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134416787 PECOS PAC ID: 5799940565 Enrollment ID: I20210311000622 |
Mailing Address | Practice Location Address |
---|---|
Emmett Vision Center 1108 S Washington Ave, Emmett, ID 83617-3535 Ph: (208) 365-2020 | Emmett Vision Center 1108 S Washington Ave, Emmett, ID 83617-3535 Ph: (208) 365-2020 |
Kendon Delbert Seamons, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1108 S Washington Ave, Emmett, ID 83617 Phone: 208-365-4531 | |
Trenton G. Warner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1108 S Washington Ave, Emmett, ID 83617 Phone: 208-365-2020 Fax: 208-365-3854 | |
Christopher Kimball, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 316 S Washington Ave, Emmett, ID 83617 Phone: 208-369-4883 Fax: 208-369-4877 | |
Gem Vision Optometrist Medicare: Medicare Enrolled Practice Location: 316 S Washington Ave, Emmett, ID 83617 Phone: 208-365-8865 | |
Thomas W Woodward Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 304 E Main St, Emmett, ID 83617 Phone: 208-365-4531 | |
Dr. Jason L Howard, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1108 S Washington Ave, Emmett, ID 83617 Phone: 208-365-2020 |