Mr Mark Matthew Mckell, OD | |
2100 Caldwell Blvd, Nampa, ID 83651-1510 | |
(208) 466-6895 | |
Not Available |
Full Name | Mr Mark Matthew Mckell |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 18 Years |
Location | 2100 Caldwell Blvd, Nampa, 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 |
---|---|---|---|
1396853974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-100119 (Idaho) | Primary |
152W00000X | Optometrist | 6271198-9934 (Utah) | Secondary |
Provider Name | Salt Lake City Eye Care, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952810731 PECOS PAC ID: 0941569719 Enrollment ID: O20180124001773 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Matthew Mckell, OD 2100 Caldwell Blvd, Nampa, ID 83651-1510 Ph: (208) 466-6895 | Mr Mark Matthew Mckell, OD 2100 Caldwell Blvd, Nampa, ID 83651-1510 Ph: (208) 466-6895 |
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Dr. Daniel L Tiller, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 901 12th Ave S, Nampa, ID 83651 Phone: 208-466-9251 Fax: 208-463-1714 | |
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