| Rsjohnson Od Pllc | |
|
4240 Yellowstone Ave, Chubbuck, ID 83202-2420 | |
| (208) 241-9145 | |
| Not Available |
| Full Name | Rsjohnson Od Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4240 Yellowstone Ave, Chubbuck, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760052401 | NPI | - | NPPES |
| 1184653403 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Rsjohnson Od Pllc 12482 Dallin Rd, Pocatello, ID 83202-5073 Ph: (208) 241-9145 | Rsjohnson Od Pllc 4240 Yellowstone Ave, Chubbuck, ID 83202-2420 Ph: (208) 241-9145 |
Baird Optical Pc Optometrist Medicare: Medicare Enrolled Practice Location: 4240 Yellowstone Ave, Chubbuck, ID 83202 Phone: 208-238-2020 Fax: 208-238-2069 | |
Dr. Ryan Scott Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4240 Yellowstone Ave, Chubbuck, ID 83202 Phone: 208-238-2020 Fax: 208-238-2069 | |
Michael L. Baird, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4240 Yellowstone Ave, Chubbuck, ID 83202 Phone: 208-238-2020 Fax: 208-230-2069 | |
Dr Wendell R Fackrell Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4145 Yellowstone Ave, Chubbuck, ID 83202 Phone: 801-722-5380 |