| Jason N Hurley O.d., Pc | |
|
711 Rigby Lake Dr Ste 301, Rigby, ID 83442-5334 | |
| (208) 745-0181 | |
| Not Available |
| Full Name | Jason N Hurley O.d., Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 711 Rigby Lake Dr Ste 301, Rigby, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629272323 | NPI | - | NPPES |
| 806929900 | Medicaid | ID | |
| 5293100001 | Other | ID | NORIDIAN |
| V6531 | Other | ID | BLUE CROSS OF IDAHO |
| 000010147608 | Other | ID | REGENS BLUE SHIELD OF IDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP100063 (Idaho) | Primary |
| Provider Name | Jason N Hurley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801859889 PECOS PAC ID: 8022083534 Enrollment ID: I20040828000151 |
| Provider Name | Dwight R Hansen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851302855 PECOS PAC ID: 0941208789 Enrollment ID: I20061110000095 |
| Provider Name | Nicholas J Blight |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588193791 PECOS PAC ID: 9830468669 Enrollment ID: I20180702001820 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason N Hurley O.d., Pc 711 Rigby Lake Dr Ste 301, Rigby, ID 83442-5334 Ph: (208) 745-0181 | Jason N Hurley O.d., Pc 711 Rigby Lake Dr Ste 301, Rigby, ID 83442-5334 Ph: (208) 745-0181 |
Dr. Jason Neil Hurley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 527 Rigby Lake Dr, Suite C, Rigby, ID 83442 Phone: 208-745-0181 Fax: 208-745-1121 | |
Dr. Dwight Hansen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 225 W Main St, Rigby, ID 83442 Phone: 208-745-8773 |