| Dennis Radford, OD | |
|
357 W Fir St, Shelley, ID 83274-1456 | |
| (208) 881-5145 | |
| (208) 881-5146 |
| Full Name | Dennis Radford |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 19 Years |
| Location | 357 W Fir St, Shelley, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457461261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-100115 (Idaho) | Primary |
| Provider Name | Snake River Eye Associates Of Shelley Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366794299 PECOS PAC ID: 2365695715 Enrollment ID: O20130116000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis Radford, OD Po Box K, Shelley, ID 83274-0910 Ph: (208) 881-5145 | Dennis Radford, OD 357 W Fir St, Shelley, ID 83274-1456 Ph: (208) 881-5145 |
Dr. Kristan C Sparks, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 169 S Emerson Ave, Shelley, ID 83274 Phone: 208-357-5733 Fax: 208-357-2240 | |
Snake River Eye Associates Of Shelley, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 357 W Fir St, Shelley, ID 83274 Phone: 208-881-5145 Fax: 208-881-5146 | |
Dr. Justin Thomas Heintz, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 524 N State St, Shelley, ID 83274 Phone: 208-357-5733 Fax: 208-357-2240 | |
Parkway Eyecare Pc Optometrist Medicare: Medicare Enrolled Practice Location: 524 N State St, Shelley, ID 83274 Phone: 208-357-5733 Fax: 208-357-2240 |