SPARHAWK VISION, CHTD (NPI# 1538388624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538388624 |
| Entity Type | Organization |
| Organization Name | SPARHAWK VISION, CHTD |
| Practice Address |
2025 12th Ave Rd Suite 100 Nampa ID 83686-6459 |
| Mailing Address |
2025 12th Ave Rd Suite 100 Mampa ID 83686 |
| Practice Telephone | 2084611000 |
| Mailing Telephone | 2084611000 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JUSTIN DAVID SPARHAWK (OPTOMETRIST) |
| Authorized Official Telephone | 2084611000 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
ODP-100122 | ID | Eye and Vision Services Providers |
| Street Address |
2025 12TH AVE RD SUITE 100 |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-6459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669552048 | Justin David Sparhawk | Optometrist | 2025 12th Ave Rd, Nampa, ID 83686-6459 | 2006-10-17 |
| 1407051733 | Donald L Bader | Optometrist | 2025 12th Ave Rd, Nampa, ID 83686-6459 | 2007-06-18 |
| 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 | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942316054 | Alan Richard Smith | Optometrist | 2100 12th Ave Rd, Nampa, ID 83686-6441 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700163839 | Nicholas J Kelsey | Optometrist | 503 Broadway Ave S, Suite A, Buhl, ID 83316-1312 | 2011-11-03 |
| 1619185485 | Ada County Eyecare, P.C. | Optometrist | 2069 E Feldspar Ct, Boise, ID 83712-8456 | 2007-05-18 |
| 1285759753 | Brent Anthony Galvan | Optometrist | 8102 W Northview St, Boise, ID 83704-4406 | 2007-03-20 |
| 1194823930 | Deborah Ann Amato | Optometrist | 8641 W Franklin, Boise, ID 83709 | 2006-09-20 |
| 1821082470 | Lance F Ough | Optometrist | 350 N Milwaukee St, #2153, Boise, ID 83704-9123 | 2005-09-08 |
| 1174524722 | Kenneth William King Jr. | Optometrist | 1480 E Lincoln Rd, Idaho Falls, ID 83401-2128 | 2005-08-04 |
| 1447540802 | Cole Family Eye Center, Pa | Optometrist | 8102 W Northview St, Boise, ID 83704 | 2011-04-19 |
| 1033302161 | Rob Dee Christensen | Optometrist | 1410 Broadway Ave, Boise, ID 83706-3706 | 2007-08-22 |
| 1427256288 | Scott Burns Taylor | Optometrist | 1301 Main St, Suite 10, Salmon, ID 83467-4453 | 2007-07-03 |
| 1225178593 | Douglass Eugene Hanson | Optometrist | 24 E Main St, Rexburg, ID 83440-1927 | 2007-02-07 |
| Find all providers with the same taxonomy | ||||
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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.