Mr William Thomas Black, OD in Caldwell, ID - Medicare Provider

Mr William Thomas Black, OD is a medicare enrolled "Optometrist" provider in Caldwell, Idaho. His current practice location is 420 E Elm St, Caldwell, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 459-2020.

Mr William Thomas Black is licensed to practice in Idaho (license number ID0857) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063591162.

Contact Information

	Mr William Thomas Black, OD
	420 E Elm St, Caldwell, ID 83605-4846
	(208) 459-2020
	(208) 459-2034

Healthcare Provider's Profile

Full Name	Mr William Thomas Black
Gender	Male
Speciality
Experience	Years
Location	420 E Elm St, Caldwell, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr William Thomas Black attended and graduated from in

NPI Data:

NPI Number: 1063591162
Provider Enumeration Date: 11/02/2006
Last Update Date: 08/30/2012

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mr William Thomas Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063591162	NPI	-	NPPES
002752500	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	ID0857 (Idaho)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr William Thomas Black is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr William Thomas Black, OD 420 E Elm St, Caldwell, ID 83605-4846 Ph: (208) 459-2020	Mr William Thomas Black, OD 420 E Elm St, Caldwell, ID 83605-4846 Ph: (208) 459-2020

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Optometrist in Caldwell, ID

Lindsey Anne Belthoff, OD Optometrist Medicare: Medicare Enrolled Practice Location: 420 E Elm St, Caldwell, ID 83605 Phone: 208-459-3366
Cadence Brunzlick, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave, Caldwell, ID 83605 Phone: 208-459-2020
Amy Marie Neideffer, Optometrist Medicare: Medicare Enrolled Practice Location: 1702 S Kimball Ave, Caldwell, ID 83605 Phone: 208-459-2641 Fax: 208-459-2895
Dr. Christopher Mark Card, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1702 S Kimball Ave, Caldwell, ID 83605 Phone: 208-459-2641 Fax: 208-459-2895
Dr. Kevin Charles Cotter, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5108 E Cleveland Blvd, Caldwell, ID 83605 Phone: 208-455-2197
Douglas Wayne Adams, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave, Caldwell, ID 83605 Phone: 208-459-2020 Fax: 208-459-2034

Mr William Thomas Black, OD - Medicare Optometrist in Caldwell, ID