Oregon Trail Eye Care, Pc | |
152 S Main St, Soda Springs, ID 83276-1441 | |
(208) 547-0000 | |
(208) 547-0004 |
Full Name | Oregon Trail Eye Care, Pc |
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Type | Facility |
Speciality | Optometrist |
Location | 152 S Main St, Soda Springs, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093982217 | NPI | - | NPPES |
8076769 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-100116 (Idaho) | Primary |
Provider Name | Jeffrey P Collins |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699840025 PECOS PAC ID: 3173625209 Enrollment ID: I20070220000847 |
Provider Name | Daniel Christopher Kunz |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598258055 PECOS PAC ID: 2466701263 Enrollment ID: I20180827002764 |
Provider Name | Eric Woodward |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1114410305 PECOS PAC ID: 5698021723 Enrollment ID: I20200203002561 |
Mailing Address | Practice Location Address |
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Oregon Trail Eye Care, Pc 152 S Main St, Soda Springs, ID 83276-1441 Ph: (208) 547-0000 | Oregon Trail Eye Care, Pc 152 S Main St, Soda Springs, ID 83276-1441 Ph: (208) 547-0000 |
Dr. Terry H. Sanderson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 380 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-2114 | |
Bear River Vision, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 380 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-2114 | |
Bear River Vision, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 380 S 3rd W, Soda Springs, ID 83276 Phone: 208-547-2114 Fax: 208-547-2020 |