| Treasure Valley Eyecare | |
|
1702 S Kimball Ave, Caldwell, ID 83605-4826 | |
| (208) 459-2641 | |
| (208) 459-2895 |
| Full Name | Treasure Valley Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | 1702 S Kimball Ave, Caldwell, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972819365 | NPI | - | NPPES |
| DQ8178 | Other | ID | RAILROAD MEDICARE |
| 1972819365 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | (* (Not Available)) | Primary |
| Provider Name | Joy G Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659324960 PECOS PAC ID: 6002859238 Enrollment ID: I20050608000317 |
| Provider Name | Micah S Mills |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548468580 PECOS PAC ID: 3173624996 Enrollment ID: I20080910000614 |
| Provider Name | Amy Marie Neideffer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114663291 PECOS PAC ID: 0244688943 Enrollment ID: I20240112001827 |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Valley Eyecare 1702 S Kimball Ave, Caldwell, ID 83605-4826 Ph: (208) 459-2641 | Treasure Valley Eyecare 1702 S Kimball Ave, Caldwell, ID 83605-4826 Ph: (208) 459-2641 |
Lindsey Anne Belthoff, OD Optometrist Medicare: Medicare Enrolled Practice Location: 420 E Elm St, Caldwell, ID 83605 Phone: 208-459-3366 | |
Mr. William Thomas Black, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 420 E Elm St, Caldwell, ID 83605 Phone: 208-459-2020 Fax: 208-459-2034 | |
Cadence Brunzlick, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave, Caldwell, ID 83605 Phone: 208-459-2020 | |
Amy Marie Neideffer, Optometrist Medicare: Medicare Enrolled Practice Location: 1702 S Kimball Ave, Caldwell, ID 83605 Phone: 208-459-2641 Fax: 208-459-2895 | |
Dr. Christopher Mark Card, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1702 S Kimball Ave, Caldwell, ID 83605 Phone: 208-459-2641 Fax: 208-459-2895 | |
Dr. Kevin Charles Cotter, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5108 E Cleveland Blvd, Caldwell, ID 83605 Phone: 208-455-2197 | |
Douglas Wayne Adams, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave, Caldwell, ID 83605 Phone: 208-459-2020 Fax: 208-459-2034 |