Lance Henderson, | |
134 N State St, Preston, ID 83263-1143 | |
(208) 852-3030 | |
Not Available |
Full Name | Lance Henderson |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 26 Years |
Location | 134 N State St, Preston, 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 |
---|---|---|---|
1225186398 | NPI | - | NPPES |
807028800 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-1004 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eye Care For You Llc | 1951466481 | 3 |
Eye Care For You Llc | 1951466481 | 3 |
Provider Name | Eye Care For You Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619112398 PECOS PAC ID: 1951466481 Enrollment ID: O20090218000055 |
Mailing Address | Practice Location Address |
---|---|
Lance Henderson, 749 North 4900 West, P.o. Box 143, Dayton, ID 83232 Ph: (208) 747-3020 | Lance Henderson, 134 N State St, Preston, ID 83263-1143 Ph: (208) 852-3030 |
Eye Care For You, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 134 N State St, Suite A, Preston, ID 83263 Phone: 208-852-3030 Fax: 208-852-3031 | |
Eye Care For You Llc Optometrist Medicare: Medicare Enrolled Practice Location: 134 N State St, Suite A, Preston, ID 83263 Phone: 208-852-3030 Fax: 208-852-3031 | |
Dr. Philip Gilbert Cromwell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 134 N State St, Suite A, Preston, ID 83263 Phone: 208-852-3030 Fax: 208-852-3031 |