| Spooner Eye Care Sc | |
|
1611 River St, Payette, ID 83661-2073 | |
| (715) 520-3414 | |
| Not Available |
| Full Name | Spooner Eye Care Sc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1611 River St, Payette, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992773998 | NPI | - | NPPES |
| 2200142 | Other | MEDICA | |
| 38723400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Spooner Eye Care Sc 1611 River St, Payette, ID 83661-2073 Ph: (715) 520-3414 | Spooner Eye Care Sc 1611 River St, Payette, ID 83661-2073 Ph: (715) 520-3414 |
Dr. Daniel E Iwasa, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 915 3rd Ave N, Payette, ID 83661 Phone: 208-642-2151 Fax: 208-642-7374 | |
Dan C Thieme Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 827 Center Ave, Payette, ID 83661 Phone: 208-642-4434 Fax: 208-642-1433 |