| Hayden Vision Source Pllc | |
|
8445 N Government Way, Hayden, ID 83835-9349 | |
| (208) 772-3208 | |
| (208) 762-2574 |
| Full Name | Hayden Vision Source Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 8445 N Government Way, Hayden, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780345264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Hayden Vision Source Pllc 8445 N Government Way, Hayden, ID 83835-9349 Ph: (208) 772-3208 | Hayden Vision Source Pllc 8445 N Government Way, Hayden, ID 83835-9349 Ph: (208) 772-3208 |
Tyrel J Bruneel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8445 N Government Way, Hayden, ID 83835 Phone: 208-772-3208 Fax: 208-762-2574 | |
Dr. Danielle Rae Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8220 N Cornerstone Dr Ste A, Hayden, ID 83835 Phone: 208-772-5539 | |
Breazeal & Associates Pa Inc Optometrist Medicare: Medicare Enrolled Practice Location: 8220 N Cornerstone Dr Ste A, Hayden, ID 83835 Phone: 208-772-5539 Fax: 208-772-9382 | |
Dr. Robert A Sorensen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8445 N Government Way, Hayden, ID 83835 Phone: 208-772-3208 Fax: 208-762-2574 | |
Dr. Daniel Leo Adams, DO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8220 N Cornerstone Dr Ste A, Hayden, ID 83835 Phone: 208-772-5539 | |
Kyle Andrew Stott, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8445 N Government Way, Hayden, ID 83835 Phone: 208-772-3208 Fax: 208-762-2574 | |
Hayden Vision Source Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 8445 N Government Way, Hayden, ID 83835 Phone: 208-772-3208 Fax: 208-762-2574 |