| Idaho Commission For The Blind & Visually Impaired | |
|
120 S Cole Rd, Suite 120 - Bldg 3, Boise, ID 83709-0932 | |
| (208) 334-3220 | |
| (208) 334-2963 |
| Full Name | Idaho Commission For The Blind & Visually Impaired |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Low Vision Rehabilitation |
| Location | 120 S Cole Rd, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801833454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WL0500X | Optometrist - Low Vision Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Dwight R Hansen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851302855 PECOS PAC ID: 0941208789 Enrollment ID: I20061110000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Commission For The Blind & Visually Impaired 120 S Cole Rd, Suite 120 - Bldg 3, Boise, ID 83709-0932 Ph: (208) 334-3220 | Idaho Commission For The Blind & Visually Impaired 120 S Cole Rd, Suite 120 - Bldg 3, Boise, ID 83709-0932 Ph: (208) 334-3220 |
Vision Quest Medical Center, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-377-3937 Fax: 208-377-9455 | |
Dr. Gregory N Bodily, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 610 Americana Blvd, Boise, ID 83702 Phone: 208-344-2020 Fax: 208-344-2371 | |
Brent Sexauer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1175 W Boise Ave, Boise, ID 83706 Phone: 208-384-9194 | |
J. Randall Pitman & Associates, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2051 S Cole Rd, Boise, ID 83709 Phone: 208-672-1200 Fax: 208-321-8728 | |
Dr. James W Vail, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3417 N Cole Rd, Boise, ID 83704 Phone: 208-377-1102 Fax: 208-377-5853 | |
Dr. Lavar W Kofoed, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 291 N Milwaukee St, Boise, ID 83704 Phone: 208-378-7020 Fax: 208-378-9460 | |
Dr. Paul Christian Neville, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 305 E Jefferson St, Boise, ID 83712 Phone: 208-381-6910 |