Unknown Individual – Optometrist, NPI 1114086261
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 1052
BLACKFOOT, ID 832211052
Phone: (208) 785-7274
Fax: (208) 785-7337
Type: Mailing
34, Southeast Main Street, Blackfoot, Bingham County, Idaho, 83221, United States
BLACKFOOT, ID 832212959
Phone: (208) 785-7274
Fax: (208) 785-7337
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83221)
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