| Jeffrey C. Johnson | |
|
7960 W Rifleman Street, Suite 150, Boise, ID 83704 | |
| (208) 377-8899 | |
| (208) 321-1952 |
| Full Name | Jeffrey C. Johnson |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 7960 W Rifleman Street, 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 |
|---|---|---|---|
| 1568632941 | NPI | - | NPPES |
| 1568632941 | Medicaid | ID | |
| 1378685 | Other | ID | MEDICARE GROUP ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP843 (Idaho) | Primary |
| Provider Name | Jeffrey C Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326129420 PECOS PAC ID: 5799733267 Enrollment ID: I20050203000594 |
| Provider Name | Jill A Kronberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588914071 PECOS PAC ID: 6406146281 Enrollment ID: I20161025002644 |
| Provider Name | Ryan C Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366706525 PECOS PAC ID: 0143510925 Enrollment ID: I20161028000839 |
| Provider Name | Timothy S Gibbons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134416787 PECOS PAC ID: 5799940565 Enrollment ID: I20210311000622 |
| Provider Name | Drew J Hargrove |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609552215 PECOS PAC ID: 1355701517 Enrollment ID: I20230719002194 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey C. Johnson 7960 W Rifleman Street, Suite 150, Boise, ID 83704 Ph: (208) 377-8899 | Jeffrey C. Johnson 7960 W Rifleman Street, Suite 150, Boise, ID 83704 Ph: (208) 377-8899 |
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 | |
J. Randall Pitman & Associates, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2051 S Cole Rd, Boise, ID 83709 Phone: 208-672-1200 Fax: 208-321-8728 | |
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 |