- Medicare Optometrist in St Maries, ID

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is a medicare enrolled "Optometrist" provider in St Maries, Idaho. Their current practice location is 704 W College Ave, St Maries, Idaho. You can reach out to their office (for appointments etc.) via phone at (208) 245-6563.

is licensed to practice in Idaho (license number ODP1029) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1780190694.

Contact Information

704 W College Ave,
St Maries, ID 83861-1824
(208) 245-6563
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOptometrist
Location704 W College Ave, St Maries, Idaho
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780190694
  • Provider Enumeration Date: 12/15/2017
  • Last Update Date: 12/15/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6608136957
  • Enrollment ID: O20180205001925

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780190694NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist ODP1029 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameLance W Fagan
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1891775151
PECOS PAC ID: 6305884917
Enrollment ID: I20050422000620
Provider NameRobert John Johnson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1265484604
PECOS PAC ID: 7416057856
Enrollment ID: I20070713000382
Provider NameJared Lambert
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548944275
PECOS PAC ID: 0345695052
Enrollment ID: I20231016003238

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

704 W College Ave,
St Maries, ID 83861-1824

Ph: (208) 245-6563
704 W College Ave,
St Maries, ID 83861-1824

Ph: (208) 245-6563

Reviews and Comments


Optometrist in St Maries, ID


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.