Jaimen L Dixon, OD | |
700 N Raymond St, Boise, ID 83704-9261 | |
(208) 375-3871 | |
(406) 222-8419 |
Full Name | Jaimen L Dixon |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 8 Years |
Location | 700 N Raymond St, Boise, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861841033 | NPI | - | NPPES |
1861841033 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | ODP-100399 (Idaho) | Secondary |
152W00000X | Optometrist | ODP-100399 (Idaho) | Primary |
Provider Name | Tree City Eyecare Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598940421 PECOS PAC ID: 8527309160 Enrollment ID: O20190409002465 |
Mailing Address | Practice Location Address |
---|---|
Jaimen L Dixon, OD 700 N Raymond St, Boise, ID 83704-9261 Ph: (208) 375-3871 | Jaimen L Dixon, OD 700 N Raymond St, Boise, ID 83704-9261 Ph: (208) 375-3871 |
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