| Eyecare Associates Of Nampa Pa | |
|
310 2nd St S, Nampa, ID 83651-3765 | |
| (208) 467-1361 | |
| (208) 467-9008 |
| Full Name | Eyecare Associates Of Nampa Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 310 2nd St S, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134204100 | NPI | - | NPPES |
| 002622300 | Medicaid | ID | |
| 000010015424 | Other | ID | REGENCE BLUE SHIELD |
| V9063 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0-592 (Idaho) | Primary |
| Provider Name | Landon Hagberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699087437 PECOS PAC ID: 1850415589 Enrollment ID: I20111012000840 |
| Provider Name | Jonathan Read Hughes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518242668 PECOS PAC ID: 2466673629 Enrollment ID: I20141031002096 |
| Provider Name | Oliver Mullins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306121462 PECOS PAC ID: 5496976789 Enrollment ID: I20170608002282 |
| Provider Name | Timothy S Gibbons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134416787 PECOS PAC ID: 5799940565 Enrollment ID: I20210311000622 |
| Provider Name | Jacob S Shipton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952977928 PECOS PAC ID: 5799174488 Enrollment ID: I20211118002076 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecare Associates Of Nampa Pa 310 2nd St S, Nampa, ID 83651-3765 Ph: (208) 467-1361 | Eyecare Associates Of Nampa Pa 310 2nd St S, Nampa, ID 83651-3765 Ph: (208) 467-1361 |
James K Dean, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 343 W Iowa Ave, Nampa, ID 83686 Phone: 208-467-0001 Fax: 208-466-2205 | |
Dr. Lorance Wilson Harwood, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 820 W Tropical Dr, Nampa, ID 83686 Phone: 208-442-1683 Fax: 208-442-1683 | |
Pinnacle Vision Care, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1213 North Jacob Allcott Way, Nampa, ID 83687 Phone: 208-461-2010 Fax: 208-461-2013 | |
Timothy Scott Gibbons, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 2nd St S, Nampa, ID 83651 Phone: 208-467-1361 Fax: 208-467-9008 | |
Dr. Daniel L Tiller, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 901 12th Ave S, Nampa, ID 83651 Phone: 208-466-9251 Fax: 208-463-1714 | |
Alexandra Hollingshead Wilson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 901 12th Ave S, Nampa, ID 83651 Phone: 208-466-9251 |