| Rexburg Vision Center | |
|
49 E 1st S, Rexburg, ID 83440-1966 | |
| (208) 356-4444 | |
| (208) 356-4445 |
| Full Name | Rexburg Vision Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 49 E 1st S, Rexburg, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801830666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 332H00000X | Eyewear Supplier | ODP-100403 (Idaho) | Secondary |
| Provider Name | Damon S Mortensen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760619365 PECOS PAC ID: 9335293398 Enrollment ID: I20090811000369 |
| Provider Name | H Scott Mortensen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346286549 PECOS PAC ID: 2860546835 Enrollment ID: I20100614000769 |
| Provider Name | Darren W Hatch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487681292 PECOS PAC ID: 2769536739 Enrollment ID: I20100614000793 |
| Provider Name | Nathan Cody Mortensen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194253682 PECOS PAC ID: 5193097574 Enrollment ID: I20170818002674 |
| Mailing Address | Practice Location Address |
|---|---|
| Rexburg Vision Center 49 E 1st S, Po Box 577, Rexburg, ID 83440-1966 Ph: (208) 356-4444 | Rexburg Vision Center 49 E 1st S, Rexburg, ID 83440-1966 Ph: (208) 356-4444 |
Dr. Kreed Bowman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 76 Professional Plz, Rexburg, ID 83440 Phone: 208-356-4585 Fax: 208-356-4587 | |
Dr. Bryce Byram Thueson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 76 Professional Plz, Rexburg, ID 83440 Phone: 208-356-4585 Fax: 208-356-4587 | |
Dallas Stevens, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1232 Pleasantview, Rexburg, ID 83440 Phone: 208-709-7314 | |
Canyon View Eyecare Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 74 E 1st S, Rexburg, ID 83440 Phone: 208-356-6911 | |
Dr. Nathan Cody Mortensen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 49 E 1st S, Rexburg, ID 83440 Phone: 208-356-4444 | |
Dr. Douglass Eugene Hanson, OPTOMETRIST Optometrist Medicare: Medicare Enrolled Practice Location: 24 E Main St, Rexburg, ID 83440 Phone: 208-356-0881 Fax: 208-359-9680 | |
Dr. Dallin Heiner, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 244 E Main St, Rexburg, ID 83440 Phone: 208-359-1880 Fax: 208-359-2025 |