DR. JARED EDGAR BIRCH (NPI# 1881764678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881764678 |
| Entity Type | Individual |
| Full Name | DR. JARED EDGAR BIRCH |
| Credential | O.D. |
| Practice Address |
1689 Pancheri Dr Idaho Falls ID 83402-3041 |
| Practice Telephone | 2085294333 |
| Practice Fax Number | 2085294366 |
| Mailing Telephone | 2085294333 |
| Mailing Fax Number | 2085294366 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2016-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODP-100057 | ID | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807002500 | 05 |
| Street Address |
1689 PANCHERI DR |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83402-3041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184999625 | Neal Boyd Guymon | Optometrist | 1689 Pancheri Dr, Idaho Falls, ID 83402-3169 | 2012-03-16 |
| 1134299928 | Westside Eyecare Inc | Optometrist | 1689 Pancheri Dr, Idaho Falls, ID 83402-3041 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
| 1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
| 1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
| 1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
| 1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
| 1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
| 1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
| 1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| Find all providers in zip 83402 | ||||
| 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 |
|---|---|---|---|---|
| 1255898292 | Kreed Bowman Od Pllc | Optometrist | 250 S Skyline Dr Ste 6, Idaho Falls, ID 83402-3292 | 2019-02-26 |
| 1972089514 | John Wesley Porter | Optometrist | 3363 Merlin Dr, Idaho Falls, ID 83404-7405 | 2018-07-17 |
| 1720276371 | Keen Eye Family Vision Pa | Optometrist | 2540 Channing Way, Idaho Falls, ID 83404-7515 | 2007-10-09 |
| 1386842425 | Nathan G Kohler | Optometrist | 320 S Woodruff Ave, Idaho Falls, ID 83401-4329 | 2007-07-10 |
| 1477612273 | Owen M Shirts | Optometrist | 838 S Woodruff Ave, Idaho Falls, ID 83401-5296 | 2006-12-07 |
| 1912074741 | David Bryan Cook | Optometrist | 1340 S. Ammon Road, Idaho Falls, ID 83406 | 2006-11-29 |
| 1952477242 | Todd F Birch | Optometrist | 3351 Merlin Dr, Idaho Falls, ID 83404-7405 | 2006-11-28 |
| 1154493708 | Associated Westside Optometric Clinic P.a. | Optometrist | 1991 W Broadway St Ste 2, Idaho Falls, ID 83402-3041 | 2006-11-15 |
| 1245340314 | Jerry Blair Nave | Optometrist | 2550 S 25th E, Idaho Falls, ID 83404 | 2006-08-30 |
| 1215962915 | Lisa L. Porter | Optometrist | 1480 E Lincoln Rd Ste B, Idaho Falls, ID 83401-2128 | 2006-07-11 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83402 |
Please comment or provide details below to improve the information on DR. JARED EDGAR BIRCH.
| 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.