| Gary J Lattimore | |
|
501 S Woodruff Ave, Idaho Falls, ID 83401-5200 | |
| (208) 522-6271 | |
| (208) 522-7217 |
| Full Name | Gary J Lattimore |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 501 S Woodruff Ave, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831398643 | NPI | - | NPPES |
| 000010015231 | Other | ID | BLUESHIELD OF IDAHO |
| 002441400 | Medicaid | IN | |
| V0724 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary J Lattimore 501 S Woodruff Ave, Idaho Falls, ID 83401-5200 Ph: (208) 522-6271 | Gary J Lattimore 501 S Woodruff Ave, Idaho Falls, ID 83401-5200 Ph: (208) 522-6271 |
Parkway Eyecare, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 320 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-524-4552 Fax: 208-524-4559 | |
Dr. Leon C Peterson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 501 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-522-6271 Fax: 208-522-7217 | |
Bonneville Vision, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 838 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-523-3937 | |
Jones Eye Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2300 E 17th St Spc 157, Idaho Falls, ID 83404 Phone: 208-552-3355 Fax: 208-552-6120 | |
Westside Eyecare Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1689 Pancheri Dr, Idaho Falls, ID 83402 Phone: 208-529-4333 Fax: 208-529-4366 | |
Dr. Golden Thane Smith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 S Utah Ave, Idaho Falls, ID 83402 Phone: 208-528-8643 | |
Associated Westside Optometric Clinic P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1991 W Broadway St Ste 2, Idaho Falls, ID 83402 Phone: 208-529-4333 |