| Infinite Vision Pllc | |
|
2100 12th Ave Rd, Nampa, ID 83686-6441 | |
| (208) 467-5293 | |
| Not Available |
| Full Name | Infinite Vision Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2100 12th Ave Rd, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326582446 | NPI | - | NPPES |
| 13596926 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-100357 (Idaho) | Primary |
| Provider Name | Paul Brewer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396120234 PECOS PAC ID: 2961710645 Enrollment ID: I20200326003290 |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Vision Pllc 13601 W Mcmillan Rd, Suite 102-172, Boise, ID 83713-2025 Ph: (208) 297-3628 | Infinite Vision Pllc 2100 12th Ave Rd, Nampa, ID 83686-6441 Ph: (208) 467-5293 |
James K Dean, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 343 W Iowa Ave, Nampa, ID 83686 Phone: 208-467-0001 Fax: 208-466-2205 | |
Dr. Lorance Wilson Harwood, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 820 W Tropical Dr, Nampa, ID 83686 Phone: 208-442-1683 Fax: 208-442-1683 | |
Pinnacle Vision Care, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1213 North Jacob Allcott Way, Nampa, ID 83687 Phone: 208-461-2010 Fax: 208-461-2013 | |
Eyecare Associates Of Nampa Pa Optometrist Medicare: Medicare Enrolled Practice Location: 310 2nd St S, Nampa, ID 83651 Phone: 208-467-1361 Fax: 208-467-9008 | |
Timothy Scott Gibbons, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 2nd St S, Nampa, ID 83651 Phone: 208-467-1361 Fax: 208-467-9008 | |
Dr. Daniel L Tiller, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 901 12th Ave S, Nampa, ID 83651 Phone: 208-466-9251 Fax: 208-463-1714 | |
Alexandra Hollingshead Wilson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 901 12th Ave S, Nampa, ID 83651 Phone: 208-466-9251 |