| Dr Ryan Scott Johnson, OD | |
|
4240 Yellowstone Ave, Chubbuck, ID 83202-2420 | |
| (208) 238-2020 | |
| (208) 238-2069 |
| Full Name | Dr Ryan Scott Johnson |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 25 Years |
| Location | 4240 Yellowstone Ave, Chubbuck, 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 |
|---|---|---|---|
| 1184653404 | NPI | - | NPPES |
| 807153600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-1037 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alameda Vision Inc | 6608995303 | 3 |
| Provider Name | John Fornarotto Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790838662 PECOS PAC ID: 2860419561 Enrollment ID: O20081015000136 |
| Provider Name | Alameda Vision Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114901535 PECOS PAC ID: 6608995303 Enrollment ID: O20120313000639 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Scott Johnson, OD 12482 Dallin Rd, Pocatello, ID 83202-5073 Ph: (208) 241-9145 | Dr Ryan Scott Johnson, OD 4240 Yellowstone Ave, Chubbuck, ID 83202-2420 Ph: (208) 238-2020 |
Baird Optical Pc Optometrist Medicare: Not Enrolled in Medicare 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 |