| Madison Clinic Optometry, P.c. | |
|
244 E Main St, Rexburg, ID 83440-2022 | |
| (208) 359-1880 | |
| (208) 359-2025 |
| Full Name | Madison Clinic Optometry, P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 244 E Main St, Rexburg, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598876997 | NPI | - | NPPES |
| V6499 | Other | ID | BLUE CROSS |
| 000010149064 | Other | ID | REGENCE BLUE SHIELD OF ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Dallin Heiner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245346980 PECOS PAC ID: 2062480676 Enrollment ID: I20040923001224 |
| Provider Name | Sally Hacking |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609982271 PECOS PAC ID: 1153399761 Enrollment ID: I20040923001241 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Clinic Optometry, P.c. 244 E Main St, Rexburg, ID 83440-2022 Ph: (208) 359-1880 | Madison Clinic Optometry, P.c. 244 E Main St, Rexburg, ID 83440-2022 Ph: (208) 359-1880 |
Dr. Kreed Bowman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 76 Professional Plz, Rexburg, ID 83440 Phone: 208-356-4585 Fax: 208-356-4587 | |
Dr. Bryce Byram Thueson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 76 Professional Plz, Rexburg, ID 83440 Phone: 208-356-4585 Fax: 208-356-4587 | |
Dallas Stevens, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1232 Pleasantview, Rexburg, ID 83440 Phone: 208-709-7314 | |
Canyon View Eyecare Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 74 E 1st S, Rexburg, ID 83440 Phone: 208-356-6911 | |
Dr. Nathan Cody Mortensen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 49 E 1st S, Rexburg, ID 83440 Phone: 208-356-4444 | |
Dr. Douglass Eugene Hanson, OPTOMETRIST Optometrist Medicare: Medicare Enrolled Practice Location: 24 E Main St, Rexburg, ID 83440 Phone: 208-356-0881 Fax: 208-359-9680 | |
Dr. Dallin Heiner, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 244 E Main St, Rexburg, ID 83440 Phone: 208-359-1880 Fax: 208-359-2025 |