J. Randall Pitman & Associates, P.c. | |
2051 S Cole Rd, Boise, ID 83709-2815 | |
(208) 672-1200 | |
(208) 321-8728 |
Full Name | J. Randall Pitman & Associates, P.c. |
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Type | Facility |
Speciality | Optometrist |
Location | 2051 S Cole Rd, 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 |
---|---|---|---|
1023131927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-715 (Idaho) | Primary |
Provider Name | John Randall Pitman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568640423 PECOS PAC ID: 3870754583 Enrollment ID: I20120405000238 |
Mailing Address | Practice Location Address |
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J. Randall Pitman & Associates, P.c. 8577 W Pool Ct, Boise, ID 83714-1797 Ph: (208) 853-1953 | J. Randall Pitman & Associates, P.c. 2051 S Cole Rd, Boise, ID 83709-2815 Ph: (208) 672-1200 |
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 | |
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 |