| Baird Optical Pc | |
| 
					4240 Yellowstone Ave, Chubbuck, ID 83202-2420  | |
| (208) 238-2020 | |
| (208) 238-2069 | 
| Full Name | Baird Optical Pc | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 4240 Yellowstone Ave, Chubbuck, Idaho | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013206275 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | ODP967 (Idaho) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Baird Optical Pc 966 Old Glory Way, Chubbuck, ID 83202-1779 Ph: (208) 709-0540  | Baird Optical Pc 4240 Yellowstone Ave, Chubbuck, ID 83202-2420 Ph: (208) 238-2020  | 
Dr. Ryan Scott Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4240 Yellowstone Ave, Chubbuck, ID 83202 Phone: 208-238-2020 Fax: 208-238-2069  | |
Michael L. Baird, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4240 Yellowstone Ave, Chubbuck, ID 83202 Phone: 208-238-2020 Fax: 208-230-2069  | |
Rsjohnson Od Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4240 Yellowstone Ave, Chubbuck, ID 83202 Phone: 208-241-9145  | |
Dr Wendell R Fackrell Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 4145 Yellowstone Ave, Chubbuck, ID 83202 Phone: 801-722-5380  |