DR. PAUL M BREWER (NPI# 1396120234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396120234 |
| Entity Type | Individual |
| Full Name | DR. PAUL M BREWER |
| Credential | O.D. |
| Practice Address |
2100 12th Ave Rd Nampa ID 83686-6441 |
| Mailing Address |
13601 W Mcmillan Rd Suite 102-172 Boise ID 83713-2025 |
| Practice Telephone | 2084675293 |
| Mailing Telephone | 2084675293 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2016-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OPT 15241 TLG | CA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | ODP-100357 | ID | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487707147 | Paul Edward Brewer | Nurse Anesthetist, Certified Registered | 7n The Meadows Shopping Center, Terre Haute, IN 47803-2373 | 2007-01-18 |
| 1639272040 | Paul C Brewer | Dermatology | 1096 Ribaut Rd, Beaufort, SC 29902 | 2006-09-07 |
| 1013269638 | Paul G Brewer | Social Worker | 170 Morton St, Boston, MA 02130-3735 | 2012-10-05 |
| 1962525204 | Paul Andrew Brewer | Orthopaedic Surgery | 452 Welch St, Silverton, OR 97381 | 2007-04-10 |
| Street Address |
2100 12TH AVE RD |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-6441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083631337 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2006-07-16 |
| 1104315225 | Grayson Norman Schenk | Pharmacist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2018-05-03 |
| 1326582446 | Infinite Vision Pllc | Optometrist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2016-12-08 |
| 1326457276 | Regina Stevenson | Pharmacist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2014-08-05 |
| 1700295821 | Spencer Dalling | Pharmacist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2014-08-04 |
| 1043629082 | Dennis Tofteland | Pharmacist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2014-08-04 |
| 1326128489 | Wal-mart Stores, Inc | Technician/Technologist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2006-10-16 |
| 1942316054 | Alan Richard Smith | Optometrist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467945873 | Blake Bingham | Optometrist | 1700 W Karcher Rd, Nampa, ID 83651-1531 | 2018-06-11 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1598137317 | Mobileyes Health Care Pllc | Optometrist | 17415 Solomon Dr, Nampa, ID 83687-5371 | 2015-10-21 |
| 1871912147 | Idaho Eye Pros of Nampa | Optometrist | 16449 Midland Blvd, Nampa, ID 83687-5222 | 2014-04-15 |
| 1083922918 | Pinnacle Vision Care, Pllc | Optometrist | 1213 North Jacob Allcott Way, Nampa, ID 83687 | 2010-09-14 |
| 1699087437 | Landon Knight Hagberg | Optometrist | 10876 Mud Springs Ave., Nampa, ID 83687-8013 | 2010-07-09 |
| 1083800882 | Lorance Wilson Harwood | Optometrist | 820 W Tropical Dr, Nampa, ID 83686-8745 | 2007-09-14 |
| 1770613986 | Lester Dwight Downer | Optometrist | 169 N Midland Blvd, Nampa, ID 83651-2034 | 2007-03-06 |
| 1992832935 | Scott D. Hansen | Optometrist | 16449 N. Midland Blvd., Nampa, ID 83687 | 2007-02-27 |
| 1669552048 | Justin David Sparhawk | Optometrist | 2025 12th Ave Rd, Nampa, ID 83686-6459 | 2006-10-17 |
| Find all providers in NAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.