| Eagle Vision One Pllc | |
|
355 S Eagle Rd, Eagle, ID 83616-5912 | |
| (208) 939-2773 | |
| (208) 939-5755 |
| Full Name | Eagle Vision One Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 355 S Eagle Rd, Eagle, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699845503 | NPI | - | NPPES |
| 000010135320 | Other | ID | BLUE SHIELD |
| V4916 | Other | ID | BLUE CROSS |
| 5675480001 | Other | ID | MEDICARE DMERC |
| 806190300 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Aaron J Warner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750346524 PECOS PAC ID: 0446241285 Enrollment ID: I20040526001044 |
| Provider Name | Shawn C Sorenson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518922368 PECOS PAC ID: 2365433109 Enrollment ID: I20040526001076 |
| Provider Name | Craig Matthew Moss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295115087 PECOS PAC ID: 8224341037 Enrollment ID: I20150723006944 |
| Provider Name | Gideon Christopher Bender |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386166312 PECOS PAC ID: 8628341252 Enrollment ID: I20170901003028 |
| Provider Name | Joshua E Mcadams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326302548 PECOS PAC ID: 3779734272 Enrollment ID: I20171129001437 |
| Provider Name | Hans O Bjorn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912232000 PECOS PAC ID: 7618146929 Enrollment ID: I20190124001084 |
| Provider Name | Renee A Rowley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003299256 PECOS PAC ID: 1658684618 Enrollment ID: I20200930001009 |
| Provider Name | Jancen H Walker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316517220 PECOS PAC ID: 8820490568 Enrollment ID: I20210716002028 |
| Provider Name | Ashlyn Clark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033803358 PECOS PAC ID: 1850751405 Enrollment ID: I20230714001666 |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Vision One Pllc 355 S Eagle Rd, Eagle, ID 83616-5912 Ph: (208) 939-2773 | Eagle Vision One Pllc 355 S Eagle Rd, Eagle, ID 83616-5912 Ph: (208) 939-2773 |
Ashlyn Clark, Optometrist Medicare: Medicare Enrolled Practice Location: 355 S Eagle Rd, Eagle, ID 83616 Phone: 208-938-2015 | |
Adams Eyecare Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3541 W Bavaria St, Eagle, ID 83616 Phone: 208-939-5005 Fax: 208-939-2496 | |
Ryan D. Huber, O.d., P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 27 N Fisher Park Way, Suite 101, Eagle, ID 83616 Phone: 208-514-1858 Fax: 844-840-3190 | |
Craig Moss, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 408 S Eagle Rd Ste 100, Eagle, ID 83616 Phone: 208-939-2773 | |
Jancen H. Walker, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 355 S Eagle Rd, Eagle, ID 83616 Phone: 208-908-2015 | |
Gideon Bender, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 355 S Eagle Rd, Eagle, ID 83616 Phone: 208-938-2015 | |
Eye 2 Eye Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 440 E State St, Suite 140, Eagle, ID 83616 Phone: 208-939-7000 Fax: 208-939-5807 |