P. V. Hakes, O.d., P.a. | |
204 Lenora St, Mccall, ID 83638-3844 | |
(208) 634-4161 | |
Not Available |
Full Name | P. V. Hakes, O.d., P.a. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 204 Lenora St, Mccall, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881021756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-100139 (Idaho) | Primary |
Provider Name | Justin M Rowe |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598954638 PECOS PAC ID: 4880783356 Enrollment ID: I20071205000732 |
Mailing Address | Practice Location Address |
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P. V. Hakes, O.d., P.a. 204 Lenora St, Mccall, ID 83638-3844 Ph: (208) 634-4161 | P. V. Hakes, O.d., P.a. 204 Lenora St, Mccall, ID 83638-3844 Ph: (208) 634-4161 |
Paul V Hakes Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 204 Lenora St, Mccall, ID 83638 Phone: 208-634-2232 Fax: 208-634-4716 | |
Dr. Justin Mark Rowe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 339 Deinhard Ln, Mccall, ID 83638 Phone: 208-634-2020 Fax: 208-634-1716 | |
Vision One Mccall Optometrist Medicare: Not Enrolled in Medicare Practice Location: 313 Deinhard Lane, Mccall, ID 83638 Phone: 208-634-2020 Fax: 208-634-7066 |