| Eyecenter Pa | |
|
180 1st Ave N, Ketchum, ID 83340-6129 | |
| (208) 726-3363 | |
| (208) 726-0138 |
| Full Name | Eyecenter Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 180 1st Ave N, Ketchum, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174632244 | 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 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 |
Rexford Capital Partners, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 649 Sun Valley Road, Ketchum, ID 83340 Phone: 208-726-4250 Fax: 208-727-0082 | |
Kyle J Williams, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 180 1st Ave N, Ketchum, ID 83340 Phone: 208-726-3363 Fax: 208-726-0138 |