| Idaho Eye Pros | |
|
2990 S 25th E, Idaho Falls, ID 83404-6515 | |
| (208) 535-2604 | |
| (208) 522-0861 |
| Full Name | Idaho Eye Pros |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2990 S 25th E, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528494465 | NPI | - | NPPES |
| 20006642 | Other | ID | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Lavar W Kofoed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023231420 PECOS PAC ID: 3971632324 Enrollment ID: I20100524000927 |
| Provider Name | Kreyton D Jackson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982915203 PECOS PAC ID: 7315133766 Enrollment ID: I20111104000313 |
| Provider Name | Erik T Thompson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891082186 PECOS PAC ID: 2769705920 Enrollment ID: I20141219002184 |
| Provider Name | Kendall C Willden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598072043 PECOS PAC ID: 5799940078 Enrollment ID: I20180524001722 |
| Provider Name | Daniel G Nielson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518497908 PECOS PAC ID: 3870862477 Enrollment ID: I20181205000976 |
| 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 2990 S 25th E, Idaho Falls, ID 83404-6515 Ph: (208) 535-2604 |
Parkway Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 320 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-524-4552 Fax: 208-524-4559 | |
Dr. Leon C Peterson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 501 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-522-6271 Fax: 208-522-7217 | |
Bonneville Vision, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 838 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-523-3937 | |
Jones Eye Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2300 E 17th St Spc 157, Idaho Falls, ID 83404 Phone: 208-552-3355 Fax: 208-552-6120 | |
Westside Eyecare Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1689 Pancheri Dr, Idaho Falls, ID 83402 Phone: 208-529-4333 Fax: 208-529-4366 | |
Dr. Golden Thane Smith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 S Utah Ave, Idaho Falls, ID 83402 Phone: 208-528-8643 | |
Associated Westside Optometric Clinic P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1991 W Broadway St Ste 2, Idaho Falls, ID 83402 Phone: 208-529-4333 |