Eyecenter PA
A Medicare group practice based in Jerome, ID: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4486672565), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4486672565
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- ID
- Enrollments
- 1
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20051107001076 | ID | Part B Supplier - Clinic/Group Practice | 1154418366 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
Practice locations
- Twin Falls, ID1
- Hailey, ID1
- Ketchum, ID1
- Jerome, ID1
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (4).
-
James A Davis, OD
- Optometrist
- Jerome, ID
- NPI 1164533485
-
Katherine Grill Nate, OD
- Optometrist
- Twin Falls, ID
- NPI 1023498037
-
Robert B Grill, OD
- Optometrist
- Twin Falls, ID
- NPI 1639280951
-
Kory Lynn Shaw, OD
- Optometrist
- Twin Falls, ID
- NPI 1750996740
-
Kyle J Williams, OD
- Optometrist
- Ketchum, ID
- NPI 1649381955
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.