| Dr Samuel Heber Kimball, OD | |
|
1502 N Pine St, La Grande, OR 97850-3543 | |
| (541) 963-3788 | |
| (541) 963-3091 |
| Full Name | Dr Samuel Heber Kimball |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 17 Years |
| Location | 1502 N Pine St, La Grande, Oregon |
| 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 |
|---|---|---|---|
| 1144458860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3311AT (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| La Grande Family Eye Care | 7012069016 | 3 |
| Provider Name | La Grande Family Eye Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376773960 PECOS PAC ID: 7012069016 Enrollment ID: O20090722000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Heber Kimball, OD 1502 N Pine St, Ste 3, La Grande, OR 97850-3543 Ph: (541) 963-3788 | Dr Samuel Heber Kimball, OD 1502 N Pine St, La Grande, OR 97850-3543 Ph: (541) 963-3788 |
Dr. David Kristopher Glabe, O.D., M.S. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1502 N Pine St, #3, La Grande, OR 97850 Phone: 541-963-3788 | |
Dr. Bert Roger Frewing, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1602 4th St, La Grande, OR 97850 Phone: 541-963-6224 Fax: 541-975-2114 | |
Dr. Spencer Kevin Luke, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 10709 S Walton Rd, La Grande, OR 97850 Phone: 541-962-7753 | |
Madeline Marie Gianandrea, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 10709 S Walton Rd, La Grande, OR 97850 Phone: 541-962-7753 |