Teton Valley Vision Pc | |
7389 S Hwy 33, Ste B, Victor, ID 83455 | |
(208) 787-3937 | |
Not Available |
Full Name | Teton Valley Vision Pc |
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Type | Facility |
Speciality | Optometrist |
Location | 7389 S Hwy 33, Victor, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1073918173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | ODP-100009 (Idaho) | Primary |
Provider Name | Thomas L Simmons |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144313305 PECOS PAC ID: 5395639827 Enrollment ID: I20040927000686 |
Provider Name | Eliza Whatley |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376299040 PECOS PAC ID: 9032594882 Enrollment ID: I20240528003030 |
Mailing Address | Practice Location Address |
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Teton Valley Vision Pc 7389 S Hwy 33, Ste B, Victor, ID 83455 Ph: () - | Teton Valley Vision Pc 7389 S Hwy 33, Ste B, Victor, ID 83455 Ph: (208) 787-3937 |
Dr. Thomas Simmons, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10 Cedron Rd, Victor, ID 83455 Phone: 208-787-3937 Fax: 208-787-3939 | |
Teton Valley Vision Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 741 S 50 W Ste B, Victor, ID 83455 Phone: 208-787-3937 Fax: 208-787-3939 |