| Dr Landon Knight Hagberg, OD | |
|
10876 Mud Springs Ave., Nampa, ID 83687-8013 | |
| (208) 757-2289 | |
| Not Available |
| Full Name | Dr Landon Knight Hagberg |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 14 Years |
| Location | 10876 Mud Springs Ave., Nampa, Idaho |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699087437 | NPI | - | NPPES |
| 1699087437 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 100220 (Idaho) | Primary |
| 152W00000X | Optometrist | 5947 (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eyecare Associates Of Nampa Pa | 0244238004 | 5 |
| Provider Name | Eyecare Associates Of Nampa Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134204100 PECOS PAC ID: 0244238004 Enrollment ID: O20061110000289 |
| Provider Name | Mobilitycares Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700440948 PECOS PAC ID: 3476880071 Enrollment ID: O20190805002969 |
| Provider Name | Eyecare Associates Of Kuna |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962067538 PECOS PAC ID: 5597094417 Enrollment ID: O20190902000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Landon Knight Hagberg, OD 10876 Mud Springs Ave., Nampa, ID 83687-8013 Ph: (208) 757-2289 | Dr Landon Knight Hagberg, OD 10876 Mud Springs Ave., Nampa, ID 83687-8013 Ph: (208) 757-2289 |
James K Dean, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 343 W Iowa Ave, Nampa, ID 83686 Phone: 208-467-0001 Fax: 208-466-2205 | |
Dr. Lorance Wilson Harwood, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 820 W Tropical Dr, Nampa, ID 83686 Phone: 208-442-1683 Fax: 208-442-1683 | |
Pinnacle Vision Care, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1213 North Jacob Allcott Way, Nampa, ID 83687 Phone: 208-461-2010 Fax: 208-461-2013 | |
Eyecare Associates Of Nampa Pa Optometrist Medicare: Medicare Enrolled Practice Location: 310 2nd St S, Nampa, ID 83651 Phone: 208-467-1361 Fax: 208-467-9008 | |
Dr. Daniel L Tiller, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 901 12th Ave S, Nampa, ID 83651 Phone: 208-466-9251 Fax: 208-463-1714 | |
Alexandra Hollingshead Wilson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 901 12th Ave S, Nampa, ID 83651 Phone: 208-466-9251 | |
Shelby Ann Strick, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 901 12th Ave S, Nampa, ID 83651 Phone: 208-466-9251 Fax: 208-463-1714 |