Jason Petersen, OD | |
307 S 1st Ave, Sandpoint, ID 83864-1201 | |
(208) 263-8501 | |
Not Available |
Full Name | Jason Petersen |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 9 Years |
Location | 307 S 1st Ave, Sandpoint, 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 |
---|---|---|---|
1407235948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-100336 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eye Clinic Of Sandpoint Pa | 3678541018 | 2 |
Provider Name | Eye Clinic Of Sandpoint Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215945431 PECOS PAC ID: 3678541018 Enrollment ID: O20040922001144 |
Provider Name | Emmett Eye Center, Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811269350 PECOS PAC ID: 9931367166 Enrollment ID: O20120220000774 |
Mailing Address | Practice Location Address |
---|---|
Jason Petersen, OD 307 S 1st Ave, Sandpoint, ID 83864-1201 Ph: (208) 263-8501 | Jason Petersen, OD 307 S 1st Ave, Sandpoint, ID 83864-1201 Ph: (208) 263-8501 |
Dr. Terri L Haley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 514 Oak St, Sandpoint, ID 83864 Phone: 208-265-7965 Fax: 208-265-7965 | |
Mountain Vision Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 514 Oak St, Sandpoint, ID 83864 Phone: 208-265-7965 Fax: 208-265-4510 | |
Dr. Don C. H. Henker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1333 Superior St, Sandpoint, ID 83864 Phone: 208-265-4140 Fax: 208-265-4448 | |
Thomas Marvin Wiley, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1333 Superior St, Sandpoint, ID 83864 Phone: 208-265-4140 Fax: 208-265-4448 | |
Dr. Julie Beth Gagnon, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 710 W Superior St, Ste A, Sandpoint, ID 83864 Phone: 208-263-9000 Fax: 208-263-9589 | |
Dr. Jeremiah Gagnon, OD Optometrist Medicare: Medicare Enrolled Practice Location: 710 W Superior St Ste B, Sandpoint, ID 83864 Phone: 208-263-9000 |