Nicholas William Gonzales, | |
1906 Fairview Ave Ste 100, Caldwell, ID 83605-5433 | |
(208) 459-2020 | |
Not Available |
Full Name | Nicholas William Gonzales |
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Gender | Male |
Speciality | Optometrist |
Location | 1906 Fairview Ave Ste 100, Caldwell, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538858279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-100620 (Idaho) | Primary |
Provider Name | Family Eyecare Specialists, P.l.l.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588840557 PECOS PAC ID: 0749350650 Enrollment ID: O20080806000220 |
Mailing Address | Practice Location Address |
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Nicholas William Gonzales, 1906 Fairview Ave Ste 100, Caldwell, ID 83605-5433 Ph: (208) 459-2020 | Nicholas William Gonzales, 1906 Fairview Ave Ste 100, Caldwell, ID 83605-5433 Ph: (208) 459-2020 |
Lindsey Anne Belthoff, OD Optometrist Medicare: Medicare Enrolled Practice Location: 420 E Elm St, Caldwell, ID 83605 Phone: 208-459-3366 | |
Mr. William Thomas Black, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 420 E Elm St, Caldwell, ID 83605 Phone: 208-459-2020 Fax: 208-459-2034 | |
Cadence Brunzlick, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave, Caldwell, ID 83605 Phone: 208-459-2020 | |
Amy Marie Neideffer, Optometrist Medicare: Medicare Enrolled Practice Location: 1702 S Kimball Ave, Caldwell, ID 83605 Phone: 208-459-2641 Fax: 208-459-2895 | |
Dr. Christopher Mark Card, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1702 S Kimball Ave, Caldwell, ID 83605 Phone: 208-459-2641 Fax: 208-459-2895 | |
Dr. Kevin Charles Cotter, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5108 E Cleveland Blvd, Caldwell, ID 83605 Phone: 208-455-2197 | |
Douglas Wayne Adams, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave, Caldwell, ID 83605 Phone: 208-459-2020 Fax: 208-459-2034 |