Intermountain Eye And Laser Centers Pllc is a medicare enrolled "Ophthalmology - Glaucoma Specialist" provider in Eagle, Idaho. Their current practice location is
323 E Riverside Dr Ste 122, Eagle, Idaho. You can reach out to their office (for appointments etc.) via phone at
(208) 938-4749.
Intermountain Eye And Laser Centers Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Intermountain Eye And Laser Centers Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1518643923.
Healthcare Provider's Profile
Full Name | Intermountain Eye And Laser Centers Pllc |
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Type | Facility |
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Speciality | Ophthalmology - Glaucoma Specialist |
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Location | 323 E Riverside Dr Ste 122, Eagle, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518643923
- Provider Enumeration Date: 06/22/2023
- Last Update Date: 06/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800709502
- Enrollment ID: O20230926001592
Medical Identifiers
Medical identifiers for Intermountain Eye And Laser Centers Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518643923 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
207WX0009X | Ophthalmology - Glaucoma Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Intermountain Eye And Laser Centers Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Intermountain Eye And Laser Centers Pllc 999 N Curtis Rd Ste 205, Boise, ID 83706-1316 Ph: (208) 373-1200 | Intermountain Eye And Laser Centers Pllc 323 E Riverside Dr Ste 122, Eagle, ID 83616-6865 Ph: (208) 938-4749 |
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