| Sandpoint Eyes Pa | |
|
710 W. Superior St., Ste A, Sandpoint, ID 83864 | |
| (208) 263-9000 | |
| (208) 263-9589 |
| Full Name | Sandpoint Eyes Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 710 W. Superior St., Sandpoint, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710042353 | NPI | - | NPPES |
| V3900 | Other | BL CROSS | |
| 0483922 | Medicaid | MT | |
| 002582600 | Medicaid | ID | |
| 000010152218 | Other | BL SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP895 (Idaho) | Primary |
| Provider Name | Julie B Gagnon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376721324 PECOS PAC ID: 2365424942 Enrollment ID: I20040607000587 |
| Provider Name | Andrea Moore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679709042 PECOS PAC ID: 0749335180 Enrollment ID: I20130513000398 |
| Provider Name | Amber D Prins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659801181 PECOS PAC ID: 3476822073 Enrollment ID: I20170712002991 |
| Provider Name | Chad L Schobert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437434586 PECOS PAC ID: 6709146384 Enrollment ID: I20210204001464 |
| Provider Name | Jeremiah M Gagnon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407549207 PECOS PAC ID: 4082072889 Enrollment ID: I20230627002140 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandpoint Eyes Pa 710 W. Superior St., Ste A, Sandpoint, ID 83864 Ph: (208) 263-9000 | Sandpoint Eyes Pa 710 W. Superior St., Ste A, Sandpoint, ID 83864 Ph: (208) 263-9000 |
Dr. Terri L Haley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 514 Oak St, Sandpoint, ID 83864 Phone: 208-265-7965 Fax: 208-265-7965 | |
Mountain Vision Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 514 Oak St, Sandpoint, ID 83864 Phone: 208-265-7965 Fax: 208-265-4510 | |
Dr. Don C. H. Henker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1333 Superior St, Sandpoint, ID 83864 Phone: 208-265-4140 Fax: 208-265-4448 | |
Thomas Marvin Wiley, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1333 Superior St, Sandpoint, ID 83864 Phone: 208-265-4140 Fax: 208-265-4448 | |
Dr. Julie Beth Gagnon, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 710 W Superior St, Ste A, Sandpoint, ID 83864 Phone: 208-263-9000 Fax: 208-263-9589 | |
Jason Petersen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 307 S 1st Ave, Sandpoint, ID 83864 Phone: 208-263-8501 | |
Dr. Jeremiah Gagnon, OD Optometrist Medicare: Medicare Enrolled Practice Location: 710 W Superior St Ste B, Sandpoint, ID 83864 Phone: 208-263-9000 |