| Marisa Denise Brown, ODP | |
|
11513 W Fairview Ave Ste 106, Boise, ID 83713-7887 | |
| (208) 322-8439 | |
| Not Available |
| Full Name | Marisa Denise Brown |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 11513 W Fairview Ave Ste 106, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992321327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 100511 (Idaho) | Primary |
| Provider Name | Gem State Family Eyecare Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154690923 PECOS PAC ID: 6305081977 Enrollment ID: O20130402000309 |
| Provider Name | Moscow Family Eye Care Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467885558 PECOS PAC ID: 8921235664 Enrollment ID: O20131230000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Marisa Denise Brown, ODP 816 W Franklin St, Boise, ID 83702-5530 Ph: (206) 715-7232 | Marisa Denise Brown, ODP 11513 W Fairview Ave Ste 106, Boise, ID 83713-7887 Ph: (208) 322-8439 |
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 |