| Hailey Eyecenter | |
|
14 East Croy, Hailey, ID 83333-8407 | |
| (208) 788-4120 | |
| (208) 788-3571 |
| Full Name | Hailey Eyecenter |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 14 East Croy, Hailey, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154418366 | NPI | - | NPPES |
| CP7637 | Other | TRAVELERS RR MEDICARE GRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Kyle J Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649381955 PECOS PAC ID: 0345260477 Enrollment ID: I20051202000687 |
| Provider Name | James A Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164533485 PECOS PAC ID: 7618995796 Enrollment ID: I20051222000419 |
| Provider Name | Robert B Grill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639280951 PECOS PAC ID: 8729000377 Enrollment ID: I20051222000525 |
| Provider Name | Katherine Grill Nate |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023498037 PECOS PAC ID: 5294030375 Enrollment ID: I20160226002231 |
| Provider Name | Kory Lynn Shaw |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750996740 PECOS PAC ID: 0648663831 Enrollment ID: I20220210002966 |
| Mailing Address | Practice Location Address |
|---|---|
| Hailey Eyecenter 14 East Croy, Hailey, ID 83333-8407 Ph: (208) 788-4120 | Hailey Eyecenter 14 East Croy, Hailey, ID 83333-8407 Ph: (208) 788-4120 |
Steven G Snapp, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14 East Croy, Hailey, ID 83333 Phone: 208-788-4120 Fax: 208-788-3571 |