| Vistec Llc | |
|
1246 Yellowstone Ave Ste A4, Pocatello, ID 83201-4372 | |
| (208) 237-7666 | |
| Not Available |
| Full Name | Vistec Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1246 Yellowstone Ave Ste A4, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992198675 | NPI | - | NPPES |
| 002875500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-0721 (Idaho) | Primary |
| Provider Name | Wallace L Christensen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760435143 PECOS PAC ID: 0749279032 Enrollment ID: I20040511001083 |
| Mailing Address | Practice Location Address |
|---|---|
| Vistec Llc 1246 Yellowstone Ave Ste A4, Pocatello, ID 83201-4372 Ph: (208) 237-7666 | Vistec Llc 1246 Yellowstone Ave Ste A4, Pocatello, ID 83201-4372 Ph: (208) 237-7666 |
Dr. Arnel Roy Baird, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 S 4th Ave, C-2, Pocatello, ID 83201 Phone: 208-637-0841 Fax: 208-237-6922 | |
Alameda Vision Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1155 Pocatello Creek Rd, Pocatello, ID 83201 Phone: 208-233-2020 Fax: 208-233-2021 | |
Jamie Thomas, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1155 Pocatello Creek Rd, Pocatello, ID 83201 Phone: 208-233-2020 Fax: 208-233-2021 | |
Norman Gregory Richardson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 475 Yellowstone Ave, Suite G, Pocatello, ID 83201 Phone: 208-233-1551 Fax: 208-232-7896 | |
2020 Family Eyecare Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 S 4th Ave, #c-2, Pocatello, ID 83201 Phone: 208-637-0841 | |
Dr. Daniel Christopher Kunz, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4191 Poleline Rd Ste C, Pocatello, ID 83202 Phone: 208-239-7927 | |
Douglas Gushwa, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1155 Pocatello Creek Rd, Pocatello, ID 83201 Phone: 208-233-2020 Fax: 208-233-2021 |