| Eyecenter Pa | |
|
201 South Lincoln, Jerome, ID 83338-2624 | |
| (208) 324-4363 | |
| (208) 324-8948 |
| Full Name | Eyecenter Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 201 South Lincoln, Jerome, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699862805 | NPI | - | NPPES |
| CP7637 | Other | TRAVELERS RR MEDICARE GRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecenter Pa 201 South Lincoln, Jerome, ID 83338-2624 Ph: (208) 324-4363 | Eyecenter Pa 201 South Lincoln, Jerome, ID 83338-2624 Ph: (208) 324-4363 |
James A Davis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 South Lincoln, Jerome, ID 83338 Phone: 208-324-4363 Fax: 208-324-8948 | |
Jon E Heitzman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2680 S Lincoln Ave, Jerome, ID 83338 Phone: 208-324-4333 |