| Elmore County Eyecare, Pa. | |
|
855 West 6th South, Mountain Home, ID 83647-3335 | |
| (208) 587-2020 | |
| (208) 587-3349 |
| Full Name | Elmore County Eyecare, Pa. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 855 West 6th South, Mountain Home, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003973736 | NPI | - | NPPES |
| 1568427615 | Medicaid | ID | |
| 1003973736 | Medicaid | ID | |
| 1316038409 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-995, ODP-966 (Idaho) | Primary |
| Provider Name | Nathan C Price |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316038409 PECOS PAC ID: 5193895324 Enrollment ID: I20120312000118 |
| Provider Name | Jeffrey Eugene Gibbons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568427615 PECOS PAC ID: 7911077144 Enrollment ID: I20120625000339 |
| Provider Name | Kyle J Kenison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750370730 PECOS PAC ID: 9739323791 Enrollment ID: I20150124000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Elmore County Eyecare, Pa. 855 W 6th S, Mountain Home, ID 83647-3335 Ph: (208) 587-2020 | Elmore County Eyecare, Pa. 855 West 6th South, Mountain Home, ID 83647-3335 Ph: (208) 587-2020 |
Norris Eye Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 265 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8415 Fax: 208-587-8416 | |
Dr. Nathan Curran Price, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 855 W 6th S, Mountain Home, ID 83647 Phone: 208-587-2020 Fax: 208-587-3349 | |
Dr. Jeffrey Eugene Gibbons, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 855 W 6th S, Mountain Home, ID 83647 Phone: 208-587-2020 Fax: 208-587-3349 | |
Kyle J Kenison, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 855 West 6th South, Mountain Home, ID 83647 Phone: 208-587-2020 Fax: 208-587-3349 | |
Dr. Jonathan Paul Norris, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 265 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-8415 Fax: 208-587-8416 | |
Family Vision Care Inc Optometrist Medicare: Medicare Enrolled Practice Location: 455 N 3rd E, Mountain Home, ID 83647 Phone: 208-587-3661 |