| |
2141 N Merritt Creek Loop, Coeur D Alene, ID 83814-4949 | |
(208) 765-2200 | |
(208) 765-2217 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 2141 N Merritt Creek Loop, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639267313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Daniel N Garn |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1952314387 PECOS PAC ID: 2365343746 Enrollment ID: I20070423000377 |
Mailing Address | Practice Location Address |
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2141 N Merritt Creek Loop, Coeur D Alene, ID 83814-4949 Ph: (208) 765-2200 | 2141 N Merritt Creek Loop, Coeur D Alene, ID 83814-4949 Ph: (208) 765-2200 |
Roy Lavern Clapper, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 355 E Neider Ave, Coeur D Alene, ID 83815 Phone: 208-676-7356 Fax: 208-676-7384 | |
Dr. Cindy L Ellenbecker, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1250 W Ironwood Dr, Coeur D Alene, ID 83814 Phone: 208-667-2255 Fax: 208-765-5889 | |
Kelsi Butherus, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 355 E Neider Ave, Coeur D Alene, ID 83815 Phone: 208-676-7356 | |
Ellenbecker Eye Clinic, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1250 W Ironwood Dr, Suite 201, Coeur D Alene, ID 83814 Phone: 208-667-2255 Fax: 208-765-5889 |