| Dr Spencer James Harris, MD | |
|
2025 E 17th St, Idaho Falls, ID 83404-6430 | |
| (208) 524-2025 | |
| (208) 524-2025 |
| Full Name | Dr Spencer James Harris |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology - Cornea And External Diseases Specialist |
| Location | 2025 E 17th St, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255892568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 3171370 (Idaho) | Secondary |
| 207WX0120X | Ophthalmology - Cornea And External Diseases Specialist | 3171370 (Idaho) | Primary |
| Entity Name | Duke Health Integrated Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Spencer James Harris, MD 2025 E 17th St, Idaho Falls, ID 83404-6430 Ph: (208) 524-2025 | Dr Spencer James Harris, MD 2025 E 17th St, Idaho Falls, ID 83404-6430 Ph: (208) 524-2025 |
Matthew P Traynor, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2100 Providence Way, Idaho Falls, ID 83404 Phone: 208-529-6600 Fax: 208-529-6602 | |
Dr. Kenneth W Turley, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2025 E 17th St, Idaho Falls, ID 83404 Phone: 208-524-2025 Fax: 208-529-1924 | |
Dr. Gary Wayne Wallace, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2295 Coronado Street, Idaho Falls, ID 83404 Phone: 208-524-8600 Fax: 208-524-8394 | |
David Ray Anderson, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 530 S Holmes, Idaho Falls, ID 83403 Phone: 208-529-3937 Fax: 208-524-4380 | |
Dr. Bradley P Gardner, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2025 E 17th St, Idaho Falls, ID 83404 Phone: 208-524-2025 Fax: 208-529-1924 | |
Mr. Peter Carl Zimmerman, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1449 E 17th Street, Idaho Falls, ID 83404 Phone: 208-529-6600 Fax: 208-529-6603 |