Jon R Fishburn (NPI# 1639123490, PAC ID# 8224127972) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1639123490 |
| PAC ID by PECOS | 8224127972 |
| Professional Enrollment ID | I20101229000434 |
| Full Name | Jon R Fishburn |
| Organization Legal Name | INTERMOUNTAIN EYE AND LASER CENTERS PLLC |
| Address |
999 N Curtis Rd Suite 205 Boise ID 83706-1316 |
| Phone Number | 2083731200 |
| Gender | M |
| Medical School | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6800709502 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 999 N Curtis Rd, Suite 205, Boise, ID 83706-1316 | 2083731200 | INTERMOUNTAIN EYE AND LASER CENTERS PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% |
| Organization Legal Name | INTERMOUNTAIN EYE AND LASER CENTERS PLLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee J Carter | Optometry | Intermountain Eye and Laser Centers Pllc | 251 E Front St, Suite 110, Boise, ID 83702-7313 |
| James Paul Tweeten | Ophthalmology | Intermountain Eye and Laser Centers Pllc | 999 N Curtis Rd, Suite 205, Boise, ID 83706-1316 |
| Leo S Harf | Ophthalmology | Intermountain Eye and Laser Centers Pllc | 4400 E Flamingo Ave, Suite 300, Nampa, ID 83687-9203 |
| Adam C Reynolds | Ophthalmology | Intermountain Eye and Laser Centers Pllc | 323 E Riverside Dr, Suite 122, Eagle, ID 83616-6865 |
| Kathryn M Fethke | Ophthalmology | Intermountain Eye and Laser Centers Pllc | 3090 E Gentry Way, Suite 120, Meridian, ID 83642-3549 |
| Luke K Hopstad | Optometry | Intermountain Eye and Laser Centers Pllc | 999 N Curtis Rd, Suite 205, Boise, ID 83706-1316 |
| Deric C Simmons | Optometry | Intermountain Eye and Laser Centers Pllc | 999 N Curtis Rd, Suite 205, Boise, ID 83706-1316 |
| Brent Betts | Ophthalmology | Intermountain Eye and Laser Centers Pllc | 999 N Curtis Rd, Suite 205, Boise, ID 83706-1316 |
| Molly Jane Mannschreck | Ophthalmology | Intermountain Eye and Laser Centers Pllc | 251 E Front St, Suite 110, Boise, ID 83702-7313 |
| Hans O Bjorn | Optometry | Intermountain Eye and Laser Centers Pllc | 999 N Curtis Rd, Suite 205, Boise, ID 83706-1316 |
| Street Address |
999 N CURTIS RD SUITE 205 |
| City | BOISE |
| State | ID |
| Zip | 83706-1316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley B Cafferty | Physician Assistant | Idaho Dermatologic Surgery and Laser Center Pa | 999 N Curtis Rd, Suite 505, Boise, ID 83706-1335 |
| James Paul Tweeten | Ophthalmology | Intermountain Eye and Laser Centers Pllc | 999 N Curtis Rd, Suite 205, Boise, ID 83706-1316 |
| Luke K Hopstad | Optometry | Intermountain Eye and Laser Centers Pllc | 999 N Curtis Rd, Suite 205, Boise, ID 83706-1316 |
| Teri J Cottingham | Dermatology | Idaho Dermatologic Surgery and Laser Center Pa | 999 N Curtis Rd, Suite 505, Boise, ID 83706-1335 |
| Deric C Simmons | Optometry | Intermountain Eye and Laser Centers Pllc | 999 N Curtis Rd, Suite 205, Boise, ID 83706-1316 |
| Brent Betts | Ophthalmology | Intermountain Eye and Laser Centers Pllc | 999 N Curtis Rd, Suite 205, Boise, ID 83706-1316 |
| Hans O Bjorn | Optometry | Intermountain Eye and Laser Centers Pllc | 999 N Curtis Rd, Suite 205, Boise, ID 83706-1316 |
| D Peter Reedy | Neurosurgery | 999 N Curtis Rd, Suite 307, Boise, ID 83706-1333 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon L Saul | Clinical Social Worker | 3350 Americiana Blvd, Suite 210b, Boise, ID 83706 | |
| Afshin Mofid | Chiropractic | 880 N Curtis Rd, Boise, ID 83706-1306 | |
| James W Kranz | Chiropractic | 910 N Curtis Rd, Boise, ID 83706-1308 | |
| Kenneth C Stratton Jr. | Certified Registered Nurse Anesthetist (crna) | Boise Anesthesia, Pa | 1055 N Curtis Rd, Boise, ID 83706-1309 |
| Kyle P Noorlander | Certified Registered Nurse Anesthetist (crna) | Boise Anesthesia, Pa | 1055 N Curtis Rd, Boise, ID 83706-1309 |
| Robert L Petersen | Hospitalist | Saint Alphonsus Regional Medical Center Inc | 1055 N Curtis Rd, Boise, ID 83706-1309 |
| Brett E Curley | Certified Registered Nurse Anesthetist (crna) | Boise Anesthesia, Pa | 1055 N Curtis Rd, Boise, ID 83706-1309 |
| Dianna Lee Binnion | Emergency Medicine | Cep America LLC | 1055 N Curtis Rd, Boise, ID 83706-1309 |
| Charles M Reynolds | Emergency Medicine | Cep America LLC | 1055 N Curtis Rd, Boise, ID 83706-1309 |
| Shane Kenneth Marshall | Emergency Medicine | Cep America LLC | 1055 N Curtis Rd, Boise, ID 83706-1309 |
| Find all physicians in zip 83706 | |||
| City | BOISE |
| Zip Code | 83706 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | BOISE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jon R Fishburn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.