| Vision Specialties | |
|
1205 S Five Mile Rd, Boise, ID 83709-1304 | |
| (208) 322-8381 | |
| Not Available |
| Full Name | Vision Specialties |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1205 S Five Mile Rd, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598825416 | NPI | - | NPPES |
| 000010015463 | Other | ID | BLUE SHIELD |
| 6055070001 | Other | PTAN | |
| V5269 | Other | ID | BLUE CROSS OF IDAHO |
| 806420300 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-682 (Idaho) | Secondary |
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jeremy Blair Ball |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639662802 PECOS PAC ID: 6901156405 Enrollment ID: I20200324000112 |
| Provider Name | Chad Harold Clark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205241577 PECOS PAC ID: 9335420066 Enrollment ID: I20210630000944 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Specialties 1205 S Five Mile Rd, Boise, ID 83709-1304 Ph: (208) 322-8381 | Vision Specialties 1205 S Five Mile Rd, Boise, ID 83709-1304 Ph: (208) 322-8381 |
Vision Quest Medical Center, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-377-3937 Fax: 208-377-9455 | |
Dr. Gregory N Bodily, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 610 Americana Blvd, Boise, ID 83702 Phone: 208-344-2020 Fax: 208-344-2371 | |
Brent Sexauer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1175 W Boise Ave, Boise, ID 83706 Phone: 208-384-9194 | |
J. Randall Pitman & Associates, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2051 S Cole Rd, Boise, ID 83709 Phone: 208-672-1200 Fax: 208-321-8728 | |
Dr. James W Vail, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3417 N Cole Rd, Boise, ID 83704 Phone: 208-377-1102 Fax: 208-377-5853 | |
Dr. Lavar W Kofoed, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 291 N Milwaukee St, Boise, ID 83704 Phone: 208-378-7020 Fax: 208-378-9460 | |
Dr. Paul Christian Neville, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 305 E Jefferson St, Boise, ID 83712 Phone: 208-381-6910 |