| Steven O Davis, OD | |
|
622 E Main St, Middleton, ID 83644-3080 | |
| (208) 585-9500 | |
| (208) 585-9497 |
| Full Name | Steven O Davis |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 622 E Main St, Middleton, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871522235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 868 (Colorado) | Secondary |
| 152W00000X | Optometrist | ODP-100237 (Idaho) | Primary |
| Provider Name | Idaho Eyecare Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992899181 PECOS PAC ID: 9335105311 Enrollment ID: O20100818000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven O Davis, OD 622 E Main St, Middleton, ID 83644-3080 Ph: (208) 585-9500 | Steven O Davis, OD 622 E Main St, Middleton, ID 83644-3080 Ph: (208) 585-9500 |
Lindsey C Warner, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 622 E Main St, Middleton, ID 83644 Phone: 208-585-9500 Fax: 208-585-9497 | |
Drew C Dayton Chartered Optometrist Medicare: Medicare Enrolled Practice Location: 622 E. Main St., Middleton, ID 83644 Phone: 208-585-9500 Fax: 208-585-9497 | |
Family Eye Care Specialists Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 315 S Middleton Rd Ste 100, Middleton, ID 83644 Phone: 208-585-3445 Fax: 208-459-2034 |