| Dr Douglass Eugene Hanson, OPTOMETRIST | |
|
24 E Main St, Rexburg, ID 83440-1927 | |
| (208) 356-0881 | |
| (208) 359-9680 |
| Full Name | Dr Douglass Eugene Hanson |
|---|---|
| Gender | Male |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | 24 E Main St, Rexburg, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225178593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | ODP 0703 (Idaho) | Primary |
| Provider Name | Summit Eyecare Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992138432 PECOS PAC ID: 4284867888 Enrollment ID: O20140506001941 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglass Eugene Hanson, OPTOMETRIST 24 E Main St, Po Box 547, Rexburg, ID 83440-1927 Ph: (208) 356-0881 | Dr Douglass Eugene Hanson, OPTOMETRIST 24 E Main St, Rexburg, ID 83440-1927 Ph: (208) 356-0881 |
Dr. Kreed Bowman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 76 Professional Plz, Rexburg, ID 83440 Phone: 208-356-4585 Fax: 208-356-4587 | |
Dr. Bryce Byram Thueson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 76 Professional Plz, Rexburg, ID 83440 Phone: 208-356-4585 Fax: 208-356-4587 | |
Dallas Stevens, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1232 Pleasantview, Rexburg, ID 83440 Phone: 208-709-7314 | |
Canyon View Eyecare Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 74 E 1st S, Rexburg, ID 83440 Phone: 208-356-6911 | |
Dr. Nathan Cody Mortensen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 49 E 1st S, Rexburg, ID 83440 Phone: 208-356-4444 | |
Dr. Dallin Heiner, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 244 E Main St, Rexburg, ID 83440 Phone: 208-359-1880 Fax: 208-359-2025 |