| |
2175 N Main St, Coeur D Alene, ID 83814-5768 | |
(208) 664-9888 | |
(208) 666-0816 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 2175 N Main St, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023782307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Mark A Kontos |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1114938990 PECOS PAC ID: 5799784369 Enrollment ID: I20100318000774 |
Provider Name | Alisha M Heaton |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1659605848 PECOS PAC ID: 2961661442 Enrollment ID: I20120302000511 |
Provider Name | Jason Albert Croskrey |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1609118439 PECOS PAC ID: 8729496245 Enrollment ID: I20210506001561 |
Provider Name | Jessica N Couch |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043926124 PECOS PAC ID: 9335686625 Enrollment ID: I20241003002029 |
Mailing Address | Practice Location Address |
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Sight Partners Physicians Pc, Po Box 35111, Seattle, WA 98124-5111 Ph: (206) 528-6000 | 2175 N Main St, Coeur D Alene, ID 83814-5768 Ph: (208) 664-9888 |