Dr. Lance William Fagan is a Coeur D Alene, Idaho based male Optometrist with 24 years of experience in Optometry. He completed his graduation from Pacific University - College Of Optometry in 2000. 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. Lance William Fagan is IDP1029 for Optometry in Idaho. Dr. Lance William Fagan 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. Lance William Fagan 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:
24+ years
Medical School Attended:
Pacific University - College Of Optometry
Graduation Year:
2000
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1801 N 3rd St, Coeur D Alene, Idaho, 83814-3400
Phone:
208-667-1591
Fax:
208-676-8574
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:
6305884917
Enrollment ID:
I20050422000620
NPI Number:
1891775151
NPI Enumeration Date:
20 Jan, 2006
NPI Last Update On:
12 Apr, 2011
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. Lance William Fagan are as mentioned below.
License Number
Specialization
State
Status
IDP1029
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. Lance William Fagan has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Kootenai Vision Pllc (4284672890)
2
St Maries Vision Center Pllc (6608136957)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Lance William Fagan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
805917800
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1801 N 3rd St, Coeur D Alene, Idaho
Zip:
83814-3400
Phone Number:
208-667-1591
Fax Number:
208-676-8574
Patients can reach Dr. Lance William Fagan at 1801 N 3rd St, Coeur D Alene, Idaho or can call to book an appointment on 208-667-1591. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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