Bonners Ferry Eye Care | |
6348 Main St, Bonners Ferry, ID 83805-8519 | |
(208) 267-1087 | |
(208) 267-2235 |
Full Name | Bonners Ferry Eye Care |
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Type | Facility |
Speciality | Optometrist |
Location | 6348 Main St, Bonners Ferry, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306564331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Danielle E Tholl |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871878926 PECOS PAC ID: 7719293182 Enrollment ID: I20150831001319 |
Mailing Address | Practice Location Address |
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Bonners Ferry Eye Care 6348 Main St, Bonners Ferry, ID 83805-8519 Ph: (208) 267-1087 | Bonners Ferry Eye Care 6348 Main St, Bonners Ferry, ID 83805-8519 Ph: (208) 267-1087 |
Mark R. Barker, O.d.p.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7177 Main St., Bonners Ferry, ID 83805 Phone: 208-267-2020 Fax: 208-267-8813 | |
Mark R Barker, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7177 Main St, Bonners Ferry, ID 83805 Phone: 208-267-2020 Fax: 208-267-8748 | |
Danielle E. Tholl, O.D., F.A.A.O. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6348 Main St, Bonners Ferry, ID 83805 Phone: 208-267-1087 |