| Mobilitycares Arizona Llc | |
|
13246 Lewis Ranch Rd, Caldwell, ID 83607 | |
| (208) 995-1122 | |
| Not Available |
| Full Name | Mobilitycares Arizona Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 13246 Lewis Ranch Rd, Caldwell, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063210201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Michael L Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841304052 PECOS PAC ID: 8123096583 Enrollment ID: I20040923000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Mobilitycares Arizona Llc 13246 Lewis Ranch Rd, Caldwell, ID 83607 Ph: () - | Mobilitycares Arizona Llc 13246 Lewis Ranch Rd, Caldwell, ID 83607 Ph: (208) 995-1122 |
Lindsey Anne Belthoff, OD Optometrist Medicare: Medicare Enrolled Practice Location: 420 E Elm St, Caldwell, ID 83605 Phone: 208-459-3366 | |
Mr. William Thomas Black, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 420 E Elm St, Caldwell, ID 83605 Phone: 208-459-2020 Fax: 208-459-2034 | |
Cadence Brunzlick, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave, Caldwell, ID 83605 Phone: 208-459-2020 | |
Amy Marie Neideffer, Optometrist Medicare: Medicare Enrolled Practice Location: 1702 S Kimball Ave, Caldwell, ID 83605 Phone: 208-459-2641 Fax: 208-459-2895 | |
Dr. Christopher Mark Card, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1702 S Kimball Ave, Caldwell, ID 83605 Phone: 208-459-2641 Fax: 208-459-2895 | |
Dr. Kevin Charles Cotter, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5108 E Cleveland Blvd, Caldwell, ID 83605 Phone: 208-455-2197 |