Eyecenter Pa is a
Optometrist based in Ketchum, Idaho. Eyecenter Pa is licensed to practice in * (Not Available) (license number ) and their current practice location is
180 1st Ave N, Ketchum, Idaho. It can be reached at their office (for appointments etc.) via phone at
(208) 726-3363.
NPI number for Eyecenter Pa is 1174632244 and their current mailing address is Po Box 6129, Ketchum, Idaho. Eyecenter Pa
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1174632244.
Healthcare Provider's Profile
| Full Name | Eyecenter Pa |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist |
|---|
| Location | 180 1st Ave N, Ketchum, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174632244
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 01/08/2008
Medical Identifiers
Medical identifiers for Eyecenter Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174632244 | NPI | - | NPPES |
| CP7637 | Other | | TRAVELERS RR MEDICARE GRP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eyecenter Pa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eyecenter Pa
Po Box 6129,
Ketchum, ID 83340-6129
Ph: (208) 726-3363 | Eyecenter Pa
180 1st Ave N,
Ketchum, ID 83340-6129
Ph: (208) 726-3363 |
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