| Eyedaho Optometric Llc | |
|
500 S Utah Ave, Idaho Falls, ID 83402-3305 | |
| (208) 528-8643 | |
| Not Available |
| Full Name | Eyedaho Optometric Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 500 S Utah Ave, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417627480 | NPI | - | NPPES |
| IDTPID015646 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Trevor H Dickson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588280176 PECOS PAC ID: 9739580663 Enrollment ID: I20210629001869 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyedaho Optometric Llc 500 S Utah Ave, Idaho Falls, ID 83402-3305 Ph: (208) 528-8643 | Eyedaho Optometric Llc 500 S Utah Ave, Idaho Falls, ID 83402-3305 Ph: (208) 528-8643 |
Parkway Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 320 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-524-4552 Fax: 208-524-4559 | |
Dr. Leon C Peterson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 501 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-522-6271 Fax: 208-522-7217 | |
Bonneville Vision, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 838 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-523-3937 | |
Jones Eye Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2300 E 17th St Spc 157, Idaho Falls, ID 83404 Phone: 208-552-3355 Fax: 208-552-6120 | |
Westside Eyecare Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1689 Pancheri Dr, Idaho Falls, ID 83402 Phone: 208-529-4333 Fax: 208-529-4366 | |
Dr. Golden Thane Smith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 S Utah Ave, Idaho Falls, ID 83402 Phone: 208-528-8643 | |
Associated Westside Optometric Clinic P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1991 W Broadway St Ste 2, Idaho Falls, ID 83402 Phone: 208-529-4333 |