| Sonya Thomas Blizzard, MD | |
|
2175 N Main St, Coeur D Alene, ID 83814-5768 | |
| (208) 664-9888 | |
| (208) 666-0816 |
| Full Name | Sonya Thomas Blizzard |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology |
| Location | 2175 N Main St, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558629535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | P29020 (Maryland) | Secondary |
| 207W00000X | Ophthalmology | 2016-00555 (North Carolina) | Secondary |
| 207W00000X | Ophthalmology | M-13914 (Idaho) | Primary |
| Entity Name | Inland Pediatric Ophthalmology And Strabismus Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104472349 PECOS PAC ID: 4587074570 Enrollment ID: O20201103000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Sonya Thomas Blizzard, MD 2600 E Seltice Way, Ste A Pmb 277, Post Falls, ID 83854 Ph: () - | Sonya Thomas Blizzard, MD 2175 N Main St, Coeur D Alene, ID 83814-5768 Ph: (208) 664-9888 |
David Gerald Dance, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 | |
Dr. David Anton Wold, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 Fax: 208-765-9385 | |
Sara Duke, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 Fax: 208-665-5839 | |
Dr. Dale Justin Stormogipson, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 Fax: 208-765-9385 | |
Dr. Patrick John Parden, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 Fax: 208-765-9385 | |
Dr. Stephen A Moss, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 Fax: 208-765-9385 | |
Dr. Roderick Sidney Kent, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1814 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-667-2531 Fax: 208-765-9385 |