DR. JOHN RANDALL PITMAN (NPI# 1568640423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568640423 |
| Entity Type | Individual |
| Full Name | DR. JOHN RANDALL PITMAN |
| Credential | OD |
| Practice Address |
2051 S Cole Rd Boise ID 83709-2815 |
| Mailing Address |
8577 W Pool Ct Boise ID 83714-1797 |
| Practice Telephone | 2086721200 |
| Practice Fax Number | 2083218728 |
| Mailing Telephone | 2088531953 |
| Enumeration Date | 2008-02-03 |
| Last Update Date | 2008-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODP-715 | ID | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235228180 | John Guy Pitman | Dentist | 122 Engle St., Tenafly, NJ 07670-2702 | 2006-10-11 |
| 1275635229 | John M Pitman IIi | Specialist | 324 Monticello Ave, Williamsburg, VA 23185-2834 | 2006-09-01 |
| 1508000423 | John William Pitman | Pharmacist | 5005 Edgmont Ave, Brookhaven, PA 19015-1202 | 2009-04-22 |
| 1104861509 | John M Pitman Jr. | Surgery | 326 Monticello Ave, Williamsburg, VA 23185-2834 | 2006-06-19 |
| Street Address |
2051 S COLE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83709-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255324299 | Scott Ryan Lewis | Optometrist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2005-08-24 |
| 1093109787 | Costco Wholesale Corporation | Hearing Aid Equipment | 2051 S Cole Rd, Boise, ID 83709-2815 | 2015-03-20 |
| 1063803278 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2051 S Cole Rd, Boise, ID 83709-2815 | 2015-02-10 |
| 1730471319 | Bruce R Stanger | Pharmacist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2011-05-13 |
| 1942591649 | Joni S Waldram | Pharmacist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2011-04-28 |
| 1528359361 | Audra R. Mccoy | Pharmacist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2011-04-27 |
| 1881985836 | Jill Lance | Pharmacist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2011-04-26 |
| 1437346483 | Philip David Rainey | Optometrist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2007-10-03 |
| 1023131927 | J. Randall Pitman & Associates, P.C. | Optometrist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2007-04-08 |
| 1417067026 | Costco Wholesale Corporation | Pharmacy | 2051 S Cole Rd, Boise, ID 83709 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| 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 |
|---|---|---|---|---|
| 1215536362 | Daniel & Max, LLC | Optometrist | 1405 N Milwaukee St, Boise, ID 83704-8400 | 2020-10-20 |
| 1326669920 | Clear Eyes Optometric Care, Pllc | Optometrist | 7950 Horseshoe Bend Rd Ste 101, Boise, ID 83714-3809 | 2020-05-05 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1811388796 | Barber Town Eye Care | Optometrist | 3132 S Bown Way, Boise, ID 83706-5400 | 2015-02-12 |
| 1255742532 | Tiffany Risner | Optometrist | 610 S Americana Blvd, Boise, ID 83702-6731 | 2014-05-08 |
| 1154690923 | Gem State Family Eyecare, P.C. | Optometrist | 3815 W State St, Boise, ID 83703-5221 | 2011-12-22 |
| 1750678298 | Wendell Fackrell | Optometrist | 421 N. Cole Rd. Ste 102, Boise, ID 83704 | 2011-07-05 |
| 1972813855 | Dylan L Hatfield | Optometrist | 360 E. Mallard Dr. Ste 110, Hollingshead Eye Center, Boise, ID 83706-3945 | 2010-10-13 |
| 1043521941 | Nessa Livingston | Optometrist | 7960 W Rifleman St Ste 150, Boise, ID 83704-9065 | 2010-06-24 |
| Find all providers in BOISE | ||||
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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.