Luke Kyle Hopstad, OD | |
999 N Curtis Rd, Ste. 205, Boise, ID 83706-1336 | |
(208) 373-1200 | |
Not Available |
Full Name | Luke Kyle Hopstad |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 20 Years |
Location | 999 N Curtis Rd, Boise, 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 |
---|---|---|---|
1598742561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2440 (Colorado) | Secondary |
152W00000X | Optometrist | ODP 100117 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Eye And Laser Centers Pllc | 6800709502 | 10 |
Provider Name | Intermountain Eye And Laser Centers Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730119611 PECOS PAC ID: 6800709502 Enrollment ID: O20031110000142 |
Mailing Address | Practice Location Address |
---|---|
Luke Kyle Hopstad, OD 999 N Curtis Rd, Ste. 205, Boise, ID 83706-1336 Ph: (208) 373-1200 | Luke Kyle Hopstad, OD 999 N Curtis Rd, Ste. 205, Boise, ID 83706-1336 Ph: (208) 373-1200 |
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