Dr. Kristan C Sparks is a Shelley, Idaho based male Optometrist with 44 years of experience in Optometry. He completed his graduation from Pacific University - College Of Optometry in 1980. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kristan C Sparks is ODP638 for Optometry in Idaho. Dr. Kristan C Sparks examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Kristan C Sparks speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
44+ years
Medical School Attended:
Pacific University - College Of Optometry
Graduation Year:
1980
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
169 S Emerson Ave, Shelley, Idaho, 83274-1226
Phone:
208-357-5733
Fax:
208-357-2240
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7618938374
Enrollment ID:
I20041029000149
NPI Number:
1174723332
NPI Enumeration Date:
24 Jul, 2007
NPI Last Update On:
24 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kristan C Sparks are as mentioned below.
License Number
Specialization
State
Status
ODP638
Optometry
Idaho
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Kristan C Sparks has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Parkway Eyecare Pc (3274594932)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kristan C Sparks such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
21776
Other
Idaho
SPECTERA
V5988
Other
Idaho
BLUE CROSS
90638
Other
Idaho
VBA
001251300
Medicaid
Idaho
000010015251
Other
Idaho
BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 547, Shelley, Idaho
Zip:
83274-0547
Phone Number:
208-357-5733
Fax Number:
208-357-2240
Patients can reach Dr. Kristan C Sparks at 169 S Emerson Ave, Shelley, Idaho or can call to book an appointment on 208-357-5733. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.