| Rexford Capital Partners, Inc | |
|
649 Sun Valley Road, Ketchum, ID 83340 | |
| (208) 726-4250 | |
| (208) 727-0082 |
| Full Name | Rexford Capital Partners, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 649 Sun Valley Road, Ketchum, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629368725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-100012 (Idaho) | Primary |
| 156FX1800X | Technician/technologist - Optician | 148134 (California) | Secondary |
| Provider Name | Matthew E Kent |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487648952 PECOS PAC ID: 5597795609 Enrollment ID: I20050818000384 |
| Provider Name | William T Black |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063591162 PECOS PAC ID: 0143390047 Enrollment ID: I20080804000317 |
| Provider Name | Brian P Jensen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396944773 PECOS PAC ID: 2163515867 Enrollment ID: I20120803000686 |
| Provider Name | Paul C Neville |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023306966 PECOS PAC ID: 7315201506 Enrollment ID: I20180516002322 |
| Mailing Address | Practice Location Address |
|---|---|
| Rexford Capital Partners, Inc Po Box 6, Sun Valley, ID 83353-0006 Ph: (208) 726-4250 | Rexford Capital Partners, Inc 649 Sun Valley Road, Ketchum, ID 83340 Ph: (208) 726-4250 |
Eyecenter Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 180 1st Ave N, Ketchum, ID 83340 Phone: 208-726-3363 Fax: 208-726-0138 | |
Kyle J Williams, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 180 1st Ave N, Ketchum, ID 83340 Phone: 208-726-3363 Fax: 208-726-0138 |