| Luke A. Randall Pllc | |
|
7319 W State St, Boise, ID 83714-6051 | |
| (208) 853-4786 | |
| Not Available |
| Full Name | Luke A. Randall Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 7319 W State St, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184925737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-100164 (Idaho) | Primary |
| Provider Name | Shemayne S Mccarthy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578582581 PECOS PAC ID: 4587688916 Enrollment ID: I20060124000671 |
| Provider Name | Luke A Randall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376705293 PECOS PAC ID: 4082788062 Enrollment ID: I20080808000712 |
| Provider Name | Dallas B Stevens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174775332 PECOS PAC ID: 5597818120 Enrollment ID: I20090729000936 |
| Mailing Address | Practice Location Address |
|---|---|
| Luke A. Randall Pllc 112 W Claire St, Meridian, ID 83646-7521 Ph: (208) 473-0172 | Luke A. Randall Pllc 7319 W State St, Boise, ID 83714-6051 Ph: (208) 853-4786 |
Vision Quest Medical Center, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-377-3937 Fax: 208-377-9455 | |
Dr. Gregory N Bodily, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 610 Americana Blvd, Boise, ID 83702 Phone: 208-344-2020 Fax: 208-344-2371 | |
Brent Sexauer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1175 W Boise Ave, Boise, ID 83706 Phone: 208-384-9194 | |
J. Randall Pitman & Associates, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2051 S Cole Rd, Boise, ID 83709 Phone: 208-672-1200 Fax: 208-321-8728 | |
Dr. James W Vail, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3417 N Cole Rd, Boise, ID 83704 Phone: 208-377-1102 Fax: 208-377-5853 | |
Dr. Lavar W Kofoed, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 291 N Milwaukee St, Boise, ID 83704 Phone: 208-378-7020 Fax: 208-378-9460 | |
Dr. Paul Christian Neville, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 305 E Jefferson St, Boise, ID 83712 Phone: 208-381-6910 |