MEDICARE: ALEXANDER DURRANT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	152W00000X	Optometrist	ODP-100573	ID

General Provider Information

NPI Number	:	1174269476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER DURRANT

Provider Business Mailing Address
First Line	:	3485 N COLE RD UNIT 45479
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83711-1095
Country	:	US
Telephone Number	:	833-776-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	1605 BLUE LAKES BLVD N STE A
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-3322
Country	:	US
Telephone Number	:	208-417-1020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2022
Last Update Date	:	01/05/2023

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1528126562 — DR. JAY A. HARTWELL O.D.
Practice Location Address:

1605 BLUE LAKES BLVD N STE A
TWIN FALLS, ID
83301-3322

Practice Phone: 833-776-2020
Practice Fax: 208-297-7519

1023528320 — EYEMART EXPRESS LLC
Practice Location Address:

1605 BLUE LAKES BLVD N # A
TWIN FALLS, ID
83301-3322

Practice Phone: 208-423-3800
Practice Fax: 972-277-3176

1790780443 — DR. LINDA M. KLEINHENZ OD
Practice Location Address:

153 ALL ANGELS HILL RD
WAPPINGERS FALLS, NY
12590-3322

Practice Phone: 845-297-1812
Practice Fax:

1366521841 — DR. THOMAS JOHN AMODEO DC
Practice Location Address:

155 ALL ANGELS HILL RD
WAPPINGERS FALLS, NY
12590-3322

Practice Phone: 845-298-7105
Practice Fax: 845-298-7138

1588788111 — JEFFREY WINSTON SMITH DC
Practice Location Address:

2041 RADCLIFFE AVE
KLAMATH FALLS, OR
97601-3322

Practice Phone: 541-810-2332
Practice Fax: 541-205-3822

Directions to “ ALEXANDER DURRANT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.