| Idaho Eyecare Center | |
|
1175 W Boise Ave, Boise, ID 83706-3503 | |
| (208) 384-9194 | |
| (208) 384-9327 |
| Full Name | Idaho Eyecare Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1175 W Boise Ave, 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 |
|---|---|---|---|
| 1992899181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-612 (Idaho) | Primary |
| Provider Name | John Muto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912091174 PECOS PAC ID: 6103882188 Enrollment ID: I20100818000193 |
| Provider Name | Steven O Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871522235 PECOS PAC ID: 3274421581 Enrollment ID: I20130513000020 |
| Provider Name | Matthew Alexander Muto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659721314 PECOS PAC ID: 9335433051 Enrollment ID: I20160803001643 |
| Provider Name | Derek George Muto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881123933 PECOS PAC ID: 1153691316 Enrollment ID: I20170720000665 |
| Provider Name | Brent Sexauer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013534890 PECOS PAC ID: 8729402359 Enrollment ID: I20200715003284 |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Eyecare Center 1175 W Boise Ave, Boise, ID 83706-3503 Ph: (208) 384-9194 | Idaho Eyecare Center 1175 W Boise Ave, Boise, ID 83706-3503 Ph: (208) 384-9194 |
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 |