| North 45 Eye Pllc | |
|
6348 Main St, Bonners Ferry, ID 83805-8519 | |
| (208) 267-1087 | |
| (208) 267-2235 |
| Full Name | North 45 Eye Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 6348 Main St, Bonners Ferry, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306564331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Danielle E Tholl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871878926 PECOS PAC ID: 7719293182 Enrollment ID: I20150831001319 |
| Provider Name | Chad L Schobert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437434586 PECOS PAC ID: 6709146384 Enrollment ID: I20210204001464 |
| Mailing Address | Practice Location Address |
|---|---|
| North 45 Eye Pllc 6348 Main St, Bonners Ferry, ID 83805-8519 Ph: (208) 267-1087 | North 45 Eye Pllc 6348 Main St, Bonners Ferry, ID 83805-8519 Ph: (208) 267-1087 |
Mark R. Barker, O.d.p.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7177 Main St., Bonners Ferry, ID 83805 Phone: 208-267-2020 Fax: 208-267-8813 | |
Mark R Barker, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7177 Main St, Bonners Ferry, ID 83805 Phone: 208-267-2020 Fax: 208-267-8748 | |
Danielle E. Tholl, O.D., F.A.A.O. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6348 Main St, Bonners Ferry, ID 83805 Phone: 208-267-1087 |