| Kent M Archibald P.a. | |
|
76 Professional Plz, Rexburg, ID 83440-2047 | |
| (208) 356-4585 | |
| (208) 356-4587 |
| Full Name | Kent M Archibald P.a. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 76 Professional Plz, Rexburg, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447579123 | NPI | - | NPPES |
| ODP-513 | Other | ID | IDAHO OPTOMETRY LICENSE |
| V109-4 | Other | ID | BLUE CROSS |
| 00010015323 | Other | ID | BLUE SHIELD |
| 002457600 | Medicaid | ID | |
| 410007525 | Other | ID | RAIL ROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPD-513 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kent M Archibald P.a. Po Box 430, Rexburg, ID 83440-0430 Ph: (208) 356-4585 | Kent M Archibald P.a. 76 Professional Plz, Rexburg, ID 83440-2047 Ph: (208) 356-4585 |
Dr. Kreed Bowman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 76 Professional Plz, Rexburg, ID 83440 Phone: 208-356-4585 Fax: 208-356-4587 | |
Dr. Bryce Byram Thueson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 76 Professional Plz, Rexburg, ID 83440 Phone: 208-356-4585 Fax: 208-356-4587 | |
Dallas Stevens, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1232 Pleasantview, Rexburg, ID 83440 Phone: 208-709-7314 | |
Canyon View Eyecare Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 74 E 1st S, Rexburg, ID 83440 Phone: 208-356-6911 | |
Dr. Nathan Cody Mortensen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 49 E 1st S, Rexburg, ID 83440 Phone: 208-356-4444 | |
Dr. Douglass Eugene Hanson, OPTOMETRIST Optometrist Medicare: Medicare Enrolled Practice Location: 24 E Main St, Rexburg, ID 83440 Phone: 208-356-0881 Fax: 208-359-9680 | |
Dr. Dallin Heiner, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 244 E Main St, Rexburg, ID 83440 Phone: 208-359-1880 Fax: 208-359-2025 |