IDAHO EYE PROS OF NAMPA (NPI# 1871912147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871912147 |
| Entity Type | Organization |
| Organization Name | IDAHO EYE PROS OF NAMPA |
| Practice Address |
16449 Midland Blvd Nampa ID 83687-5222 |
| Practice Telephone | 2084677020 |
| Practice Fax Number | 2084677022 |
| Mailing Telephone | 2084677020 |
| Mailing Fax Number | 2084677022 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |
| Authorized Official Name | LAVAR W KOFOED (OWNWE) |
| Authorized Official Telephone | 2083787020 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
16449 MIDLAND BLVD |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-5222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538567524 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 16449 Midland Blvd, Nampa, ID 83687-5222 | 2014-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| 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 |
| 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 |
| 1811091309 | Brian J. Mcgourty | Optometrist | 310 2nd St S, Nampa, ID 83651-3765 | 2006-09-12 |
| 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.