Scott Kawakami, OD | |
700 E 17th St, Idaho Falls, ID 83404-6152 | |
(208) 522-2839 | |
Not Available |
Full Name | Scott Kawakami |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 8 Years |
Location | 700 E 17th St, Idaho Falls, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457808719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODP-100529 (Idaho) | Primary |
152W00000X | Optometrist | 889 (Nevada) | Secondary |
Provider Name | Icare Optometry Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518548064 PECOS PAC ID: 5799194825 Enrollment ID: O20210503000257 |
Mailing Address | Practice Location Address |
---|---|
Scott Kawakami, OD 700 E 17th St, Idaho Falls, ID 83404-6152 Ph: (208) 522-2839 | Scott Kawakami, OD 700 E 17th St, Idaho Falls, ID 83404-6152 Ph: (208) 522-2839 |
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