Utham P Balachandran, OD - Medicare Optometrist in Boise, ID

Utham P Balachandran, OD is a medicare enrolled "Optometrist" provider in Boise, Idaho. His current practice location is 444 W Fort St Fl 2, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 422-1018.

Utham P Balachandran is licensed to practice in Missouri (license number 2015003345) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669813721.

Contact Information

Utham P Balachandran, OD
444 W Fort St Fl 2,
Boise, ID 83702-4535
(208) 422-1018
Not Available



Healthcare Provider's Profile

Full NameUtham P Balachandran
GenderMale
SpecialityOptometrist
Location444 W Fort St Fl 2, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669813721
  • Provider Enumeration Date: 07/17/2013
  • Last Update Date: 06/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557503166
  • Enrollment ID: I20230725000173

Medical Identifiers

Medical identifiers for Utham P Balachandran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669813721NPI-NPPES
12564335OtherPACAQH PROVIDER NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OEG002829 (Pennsylvania)Secondary
152W00000XOptometrist 2015003345 (Missouri)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. Utham P Balachandran 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 AddressPractice Location Address
Utham P Balachandran, OD
15933 Clayton Rd Ste 201,
Ballwin, MO 63011-2172

Ph: (636) 200-4393
Utham P Balachandran, OD
444 W Fort St Fl 2,
Boise, ID 83702-4535

Ph: (208) 422-1018

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› Verified 2 days ago


Optometrist in Boise, ID

Vision Quest Medical Center, Pa
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Phone: 208-377-3937    Fax: 208-377-9455
Dr. Gregory N Bodily, O.D.
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Practice Location: 610 Americana Blvd, Boise, ID 83702
Phone: 208-344-2020    Fax: 208-344-2371
Brent Sexauer, OD
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Practice Location: 1175 W Boise Ave, Boise, ID 83706
Phone: 208-384-9194    
J. Randall Pitman & Associates, P.c.
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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.
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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.
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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.
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Medicare: Medicare Enrolled
Practice Location: 305 E Jefferson St, Boise, ID 83712
Phone: 208-381-6910    

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