| Utham P Balachandran, OD | |
|
444 W Fort St Fl 2, Boise, ID 83702-4535 | |
| (208) 422-1018 | |
| Not Available |
| Full Name | Utham P Balachandran |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 444 W Fort St Fl 2, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669813721 | NPI | - | NPPES |
| 12564335 | Other | PA | CAQH PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OEG002829 (Pennsylvania) | Secondary |
| 152W00000X | Optometrist | 2015003345 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Utham P Balachandran, OD 15933 Clayton Rd Ste 201, Ballwin, MO 63011-2172 Ph: (636) 200-4393 | Utham P Balachandran, OD 444 W Fort St Fl 2, Boise, ID 83702-4535 Ph: (208) 422-1018 |
Vision Quest Medical Center, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-377-3937 Fax: 208-377-9455 | |
Dr. Gregory N Bodily, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 610 Americana Blvd, Boise, ID 83702 Phone: 208-344-2020 Fax: 208-344-2371 | |
Brent Sexauer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1175 W Boise Ave, Boise, ID 83706 Phone: 208-384-9194 | |
J. Randall Pitman & Associates, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2051 S Cole Rd, Boise, ID 83709 Phone: 208-672-1200 Fax: 208-321-8728 | |
Dr. James W Vail, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3417 N Cole Rd, Boise, ID 83704 Phone: 208-377-1102 Fax: 208-377-5853 | |
Dr. Lavar W Kofoed, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 291 N Milwaukee St, Boise, ID 83704 Phone: 208-378-7020 Fax: 208-378-9460 | |
Dr. Paul Christian Neville, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 305 E Jefferson St, Boise, ID 83712 Phone: 208-381-6910 |