| Burley Eye Care Center, L.l.p. | |
|
1970 Overland Ave, Burley, ID 83318-2439 | |
| (208) 678-3539 | |
| (208) 678-2949 |
| Full Name | Burley Eye Care Center, L.l.p. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1970 Overland Ave, Burley, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700922044 | NPI | - | NPPES |
| 804162200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-501 (Idaho) | Secondary |
| 152W00000X | Optometrist | ODP-969 (Idaho) | Primary |
| Provider Name | Delbert Oman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457325383 PECOS PAC ID: 9537298534 Enrollment ID: I20100601000761 |
| Provider Name | Eric B Pierce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306107206 PECOS PAC ID: 7618124439 Enrollment ID: I20120830000364 |
| Mailing Address | Practice Location Address |
|---|---|
| Burley Eye Care Center, L.l.p. 1970 Overland Ave, Burley, ID 83318-2439 Ph: (208) 678-3539 | Burley Eye Care Center, L.l.p. 1970 Overland Ave, Burley, ID 83318-2439 Ph: (208) 678-3539 |
Dr. Eric B Pierce, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1970 Overland Ave, Burley, ID 83318 Phone: 208-678-3539 | |
Delbert Oman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1970 Overland Ave, Burley, ID 83318 Phone: 208-678-3539 Fax: 208-678-2949 | |
Miss Carrie Inez Williams, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 385 N Overland Ave, Store 1900, Burley, ID 83318 Phone: 208-677-5465 Fax: 208-677-5467 | |
Dr. Jack G. Zarybnisky, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1970 Overland Ave., Burley, ID 83318 Phone: 208-678-3539 Fax: 208-678-2949 |