Kellogg Vision Center is a
Optometrist based in Kellogg, Idaho. Kellogg Vision Center is licensed to practice in Idaho (license number ODP 100109) and their current practice location is
403 Bunker Ave, Kellogg, Idaho. It can be reached at their office (for appointments etc.) via phone at
(208) 784-1141.
NPI number for Kellogg Vision Center is 1609994631 and their current mailing address is 403 Bunker Ave, Kellogg, Idaho. Kellogg Vision Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1609994631.
Healthcare Provider's Profile
| Full Name | Kellogg Vision Center |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 403 Bunker Ave, Kellogg, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609994631
- Provider Enumeration Date: 03/27/2007
- Last Update Date: 02/08/2008
Medical Identifiers
Medical identifiers for Kellogg Vision Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609994631 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | ODP 100109 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellogg Vision Center is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kellogg Vision Center
403 Bunker Ave,
Kellogg, ID 83837-2205
Ph: (208) 784-1141 | Kellogg Vision Center
403 Bunker Ave,
Kellogg, ID 83837-2205
Ph: (208) 784-1141 |
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