Envision Specialty Eyecare And Dry Eye Center Pllc | |
1130 E Fairview Ave, Meridian, ID 83642-1813 | |
(208) 859-5125 | |
Not Available |
Full Name | Envision Specialty Eyecare And Dry Eye Center Pllc |
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Type | Facility |
Speciality | Optometrist |
Location | 1130 E Fairview Ave, Meridian, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083209951 | NPI | - | NPPES |
000010000322 | Other | ID | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Jason R Besecker |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1114278447 PECOS PAC ID: 0345492906 Enrollment ID: I20140820001193 |
Mailing Address | Practice Location Address |
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Envision Specialty Eyecare And Dry Eye Center Pllc 1130 E Fairview Ave, Meridian, ID 83642-1813 Ph: (208) 490-8823 | Envision Specialty Eyecare And Dry Eye Center Pllc 1130 E Fairview Ave, Meridian, ID 83642-1813 Ph: (208) 859-5125 |
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