| Wilson Polito Pllc | |
|
739 Bryden Ave Ste A, Lewiston, ID 83501-4909 | |
| (208) 743-5830 | |
| (208) 743-5831 |
| Full Name | Wilson Polito Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 739 Bryden Ave Ste A, Lewiston, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710276324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-100222 (Idaho) | Primary |
| Provider Name | Nathan Wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164523643 PECOS PAC ID: 5395847941 Enrollment ID: I20110615000529 |
| Provider Name | Julia Polito |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306947874 PECOS PAC ID: 7416988019 Enrollment ID: I20110718000523 |
| Provider Name | Stacie Leann Zollman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124373410 PECOS PAC ID: 6103065024 Enrollment ID: I20130625000340 |
| Provider Name | Eric Woodward |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114410305 PECOS PAC ID: 5698021723 Enrollment ID: I20200203002561 |
| Provider Name | Jessica Ellis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619255262 PECOS PAC ID: 6901079227 Enrollment ID: I20220512000548 |
| Provider Name | Shane Kinzer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427755511 PECOS PAC ID: 1254792526 Enrollment ID: I20230802003477 |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Polito Pllc 872 Troy Rd Ste 130, Moscow, ID 83843-5035 Ph: (720) 212-8821 | Wilson Polito Pllc 739 Bryden Ave Ste A, Lewiston, ID 83501-4909 Ph: (208) 743-5830 |
Dr. Eric Weston Woodward, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 739 Bryden Ave Ste A, Lewiston, ID 83501 Phone: 208-743-5830 | |
Dr. Daniel Nile Evans, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2120 Thain Grade, Lewiston, ID 83501 Phone: 208-746-1050 | |
Lifetime Eye Care Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 210 Thain Rd, Lewiston, ID 83501 Phone: 208-746-2644 | |
Dr. Daniel Robert Klemp, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1910 Idaho Street, Lewiston, ID 83501 Phone: 208-743-4022 Fax: 208-746-0170 | |
John T Rietz Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1616 19th Ave, Lewiston, ID 83501 Phone: 208-746-3626 Fax: 208-746-1636 | |
Dr. Daniel Dinnison Schrempp, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3330 4th St, Lewiston, ID 83501 Phone: 208-746-2025 Fax: 208-746-0413 | |
Dr. Isaac M Bell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 210 Thain Rd, Lewiston, ID 83501 Phone: 208-746-2644 Fax: 208-746-2645 |