| Jared Lambert, | |
|
1801 N 3rd St, Coeur D Alene, ID 83814-3400 | |
| (208) 667-1591 | |
| (208) 676-8574 |
| Full Name | Jared Lambert |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1801 N 3rd St, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548944275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-100625 (Idaho) | Primary |
| Provider Name | Kootenai Vision Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386856284 PECOS PAC ID: 4284672890 Enrollment ID: O20050422000646 |
| Provider Name | St Maries Vision Center Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780190694 PECOS PAC ID: 6608136957 Enrollment ID: O20180205001925 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Lambert, 1801 N 3rd St, Coeur D Alene, ID 83814-3400 Ph: () - | Jared Lambert, 1801 N 3rd St, Coeur D Alene, ID 83814-3400 Ph: (208) 667-1591 |
Empire Eye Physicians Optometrist Medicare: Medicare Enrolled Practice Location: 2175 N Main St, Coeur D Alene, ID 83814 Phone: 208-664-9888 Fax: 208-666-0816 | |
Roy Lavern Clapper, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 355 E Neider Ave, Coeur D Alene, ID 83815 Phone: 208-676-7356 Fax: 208-676-7384 | |
Dr. Cindy L Ellenbecker, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1250 W Ironwood Dr, Coeur D Alene, ID 83814 Phone: 208-667-2255 Fax: 208-765-5889 | |
Kelsi Butherus, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 355 E Neider Ave, Coeur D Alene, ID 83815 Phone: 208-676-7356 | |
Coeur D Alene Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 409 W Neider Ave Ste C, Coeur D Alene, ID 83815 Phone: 208-765-5665 Fax: 208-765-1716 | |
Ellenbecker Eye Clinic, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1250 W Ironwood Dr, Suite 201, Coeur D Alene, ID 83814 Phone: 208-667-2255 Fax: 208-765-5889 | |
Dr. Robert John Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1801 N 3rd St, Coeur D Alene, ID 83814 Phone: 208-667-1591 Fax: 208-676-8574 |