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795 W Overland Rd, Meridian, ID 83642-6556 | |
| (208) 871-2936 | |
| (208) 231-8595 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 795 W Overland Rd, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881363760 | NPI | - | NPPES |
| ODP-100476 | Other | ID | OD LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Russell L Gray |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023678778 PECOS PAC ID: 6507195559 Enrollment ID: I20190917001520 |
| Provider Name | Lindsey C Warner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023786555 PECOS PAC ID: 9335537505 Enrollment ID: I20211021001251 |
| Mailing Address | Practice Location Address |
|---|---|
1521 W Blue Downs St, Meridian, ID 83642-8496 Ph: (208) 871-2936 | 795 W Overland Rd, Meridian, ID 83642-6556 Ph: (208) 871-2936 |
Renee Rowley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1715 S Wells Ave Ste 100, Meridian, ID 83642 Phone: 208-898-0304 | |
Dr. Russell Lamar Gray, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 795 W Overland Rd, Meridian, ID 83642 Phone: 208-871-2936 Fax: 208-231-8595 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1180 N Eagle Rd Ste 101, Meridian, ID 83642 Phone: 208-202-3736 | |
Dr. Nessa Livingston, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 413 Sw 5th Ave, Ste 100, Meridian, ID 83642 Phone: 208-370-2020 Fax: 208-600-6899 | |
Carter Vision Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1157 E Puffin St, Meridian, ID 83642 Phone: 208-880-6891 | |
Envision Specialty Eyecare And Dry Eye Center Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1130 E Fairview Ave, Meridian, ID 83642 Phone: 208-859-5125 | |