| Advanced Eyecare Of Blackfoot Pllc | |
|
1213 Parkway Dr, Blackfoot, ID 83221-1654 | |
| (208) 782-3426 | |
| (208) 782-3436 |
| Full Name | Advanced Eyecare Of Blackfoot Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1213 Parkway Dr, Blackfoot, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568610574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jason N Hurley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801859889 PECOS PAC ID: 8022083534 Enrollment ID: I20040828000151 |
| Provider Name | Jeremy Blair Ball |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639662802 PECOS PAC ID: 6901156405 Enrollment ID: I20200324000112 |
| Provider Name | Tyler P Zaugg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215507629 PECOS PAC ID: 1153725791 Enrollment ID: I20210804002901 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Eyecare Of Blackfoot Pllc 1213 Parkway Dr, Blackfoot, ID 83221-1654 Ph: (208) 782-3426 | Advanced Eyecare Of Blackfoot Pllc 1213 Parkway Dr, Blackfoot, ID 83221-1654 Ph: (208) 782-3426 |
Lee Brock Wren, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 715 W Judicial St, Blackfoot, ID 83221 Phone: 208-785-2210 Fax: 208-785-2216 | |
Mr. Cody E Jones, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 34 Se Main St, Ste 101, Blackfoot, ID 83221 Phone: 208-785-7274 Fax: 208-785-7337 | |
Dr. Cameron Keith Housley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 720 N Meridian St Ste A, Blackfoot, ID 83221 Phone: 208-785-7274 | |
Bingham Family Vision, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 715 W Judicial St, Blackfoot, ID 83221 Phone: 208-785-2210 Fax: 208-785-2216 | |
Dennis N Marshall, O.D., P.A. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1495 Parkway Dr Ste A, Blackfoot, ID 83221 Phone: 208-785-3063 Fax: 208-782-1392 | |
Complete Family Eye Care, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 34 Se Main St Ste 101, Blackfoot, ID 83221 Phone: 208-785-7274 | |
Dennis N. Marshall, O.d., P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 1495 Parkway Dr Ste A, Blackfoot, ID 83221 Phone: 208-785-3063 Fax: 208-782-1392 |