Idaho Eye Pros | |
291 N Milwaukee St, Suite A-3, Boise, ID 83704 | |
(208) 378-7020 | |
(208) 375-7970 |
Full Name | Idaho Eye Pros |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 291 N Milwaukee St, 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 |
---|---|---|---|
1851624019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 972 (Idaho) | Primary |
Provider Name | Jay A Hartwell |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528126562 PECOS PAC ID: 2668540519 Enrollment ID: I20081006000590 |
Provider Name | Brandon B Crawford |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912159823 PECOS PAC ID: 0941350391 Enrollment ID: I20090605000595 |
Provider Name | Lavar W Kofoed |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023231420 PECOS PAC ID: 3971632324 Enrollment ID: I20100524000927 |
Provider Name | Scott D Hansen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992832935 PECOS PAC ID: 3476682725 Enrollment ID: I20100525000176 |
Provider Name | Brian P Jensen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1396944773 PECOS PAC ID: 2163515867 Enrollment ID: I20120803000686 |
Provider Name | Kevin B Mcsweeney |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841397940 PECOS PAC ID: 3870719685 Enrollment ID: I20140730001811 |
Provider Name | Erik T Thompson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891082186 PECOS PAC ID: 2769705920 Enrollment ID: I20141219002184 |
Provider Name | Gerald L Cates |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770615205 PECOS PAC ID: 8224119631 Enrollment ID: I20151230002424 |
Provider Name | Alan R Smith |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942316054 PECOS PAC ID: 9739478835 Enrollment ID: I20160512001374 |
Provider Name | Kacey D Blaylock |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164871489 PECOS PAC ID: 2062705460 Enrollment ID: I20160722000745 |
Provider Name | Richard Dallin Boardman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1346764511 PECOS PAC ID: 3678820479 Enrollment ID: I20180725002124 |
Provider Name | Daniel Christopher Kunz |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598258055 PECOS PAC ID: 2466701263 Enrollment ID: I20180827002764 |
Provider Name | Christine Chong |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093024176 PECOS PAC ID: 5991935504 Enrollment ID: I20181107002223 |
Provider Name | Daniel G Nielson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1518497908 PECOS PAC ID: 3870862477 Enrollment ID: I20181205000976 |
Provider Name | Lance E Bloom |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912331877 PECOS PAC ID: 1557595162 Enrollment ID: I20200427002135 |
Provider Name | Timothy S Gibbons |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134416787 PECOS PAC ID: 5799940565 Enrollment ID: I20210311000622 |
Provider Name | Brett William Fredericksen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194392845 PECOS PAC ID: 2264835016 Enrollment ID: I20210730001850 |
Provider Name | Taylor Trent Webster |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962071845 PECOS PAC ID: 8729482583 Enrollment ID: I20210802002557 |
Provider Name | Jamie Nicole Rodriguez |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649688078 PECOS PAC ID: 8820218993 Enrollment ID: I20221028001762 |
Provider Name | Alexander Durrant |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174269476 PECOS PAC ID: 3476922667 Enrollment ID: I20221209001942 |
Provider Name | Christopher D Robison |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1508550898 PECOS PAC ID: 1254791890 Enrollment ID: I20230714001458 |
Provider Name | Kiana Murray Rigby |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750075081 PECOS PAC ID: 2567822158 Enrollment ID: I20230714002140 |
Provider Name | Brian D Rast |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1588657506 PECOS PAC ID: 0749344711 Enrollment ID: I20240329000697 |
Mailing Address | Practice Location Address |
---|---|
Idaho Eye Pros 3485 N Cole Rd Unit 45479, Boise, ID 83711-1095 Ph: (208) 297-7019 | Idaho Eye Pros 291 N Milwaukee St, Suite A-3, Boise, ID 83704 Ph: (208) 378-7020 |
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 |