Eyeguys Optical | |
8160 N. Cornerstone Ave., Suite B, Hayden, ID 83835 | |
(208) 772-5539 | |
(208) 772-9382 |
Full Name | Eyeguys Optical |
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Type | Facility |
Speciality | Optometrist |
Location | 8160 N. Cornerstone Ave., Hayden, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295005056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-1014 (Idaho) | Primary |
Provider Name | Larry D Breazeal |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619049228 PECOS PAC ID: 3779496815 Enrollment ID: I20031106000161 |
Provider Name | Danielle Johnson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023637733 PECOS PAC ID: 2466872080 Enrollment ID: I20220725002149 |
Mailing Address | Practice Location Address |
---|---|
Eyeguys Optical 8160 N. Cornerstone Ave., Suite B, Hayden, ID 83835 Ph: (208) 772-5539 | Eyeguys Optical 8160 N. Cornerstone Ave., Suite B, Hayden, ID 83835 Ph: (208) 772-5539 |
Tyrel J Bruneel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8445 N Government Way, Hayden, ID 83835 Phone: 208-772-3208 Fax: 208-762-2574 | |
Dr. Danielle Rae Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8220 N Cornerstone Dr Ste A, Hayden, ID 83835 Phone: 208-772-5539 | |
Dr. Robert A Sorensen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8445 N Government Way, Hayden, ID 83835 Phone: 208-772-3208 Fax: 208-762-2574 | |
Dr. Daniel Leo Adams, DO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8220 N Cornerstone Dr Ste A, Hayden, ID 83835 Phone: 208-772-5539 | |
Kyle Andrew Stott, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8445 N Government Way, Hayden, ID 83835 Phone: 208-772-3208 Fax: 208-762-2574 | |
Hayden Vision Source Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 8445 N Government Way, Hayden, ID 83835 Phone: 208-772-3208 Fax: 208-762-2574 |