| Emmett Eye Center, Pllc | |
|
1108 S Washington Ave, Emmett, ID 83617-3535 | |
| (208) 365-2020 | |
| (208) 365-3854 |
| Full Name | Emmett Eye Center, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1108 S Washington Ave, Emmett, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811269350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP 100-152 (Idaho) | Primary |
| Provider Name | Lee J Carter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891789368 PECOS PAC ID: 6608896980 Enrollment ID: I20051206000318 |
| Provider Name | Trenton Warner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184823049 PECOS PAC ID: 7618056763 Enrollment ID: I20111007000281 |
| Provider Name | Jason Marc Petersen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407235948 PECOS PAC ID: 7517275621 Enrollment ID: I20151008002097 |
| Provider Name | Jason Howard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720436744 PECOS PAC ID: 7911291992 Enrollment ID: I20160815001085 |
| Provider Name | Kendon Delbert Seamons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164915534 PECOS PAC ID: 7214280924 Enrollment ID: I20181026000648 |
| Provider Name | Timothy S Gibbons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134416787 PECOS PAC ID: 5799940565 Enrollment ID: I20210311000622 |
| Mailing Address | Practice Location Address |
|---|---|
| Emmett Eye Center, Pllc 1108 S Washington Ave, Emmett, ID 83617-3535 Ph: (208) 365-2020 | Emmett Eye Center, Pllc 1108 S Washington Ave, Emmett, ID 83617-3535 Ph: (208) 365-2020 |
Kendon Delbert Seamons, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1108 S Washington Ave, Emmett, ID 83617 Phone: 208-365-4531 | |
Trenton G. Warner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1108 S Washington Ave, Emmett, ID 83617 Phone: 208-365-2020 Fax: 208-365-3854 | |
Christopher Kimball, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 316 S Washington Ave, Emmett, ID 83617 Phone: 208-369-4883 Fax: 208-369-4877 | |
Thomas W Woodward Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 304 E Main St, Emmett, ID 83617 Phone: 208-365-4531 | |
Dr. Jason L Howard, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1108 S Washington Ave, Emmett, ID 83617 Phone: 208-365-2020 | |
Dr. Larry V. Downer, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1016 E Locust St, Emmett, ID 83617 Phone: 208-365-3584 Fax: 208-365-2471 |