J. Randall Pitman & Associates, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-715 Issued in ID

Legal business name

J. RANDALL PITMAN & ASSOCIATES, P.C.

Practice address

2051 S Cole Rd
Boise, ID 83709-2815

Phone

(208) 672-1200

Fax

(208) 321-8728

NPI assigned

Apr 8, 2007

Last updated

Feb 3, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Randall Pitman, O.D.NPI 1568640423

Title

President

Phone

(208) 672-1200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Randall Pitman, OD

  • Optometrist
  • Boise, ID
  • NPI 1568640423
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201996800000",
    "number": "1023131927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8577 W POOL CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837141797",
            "telephone_number": "208-853-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 S COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092815",
            "telephone_number": "208-672-1200",
            "fax_number": "208-321-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. RANDALL PITMAN & ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-08",
        "last_updated": "2008-02-03",
        "status": "A",
        "authorized_official_last_name": "PITMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-672-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Renee Iwasa, M.A., M.A., LPC
• Iwl LLC (SlimRx)
• Marina A Izzi, PHARMD
• J and E Services, LLC (Right at Home Boise)
• J Macmillan Bruce DDS Inc
• Jane Jablonski, LPC
• Jackie Nelson, PLLC
• Norman Louis Jackman, PHARMD
• Shelley Marie Jacks, MD
• Ashley Jackson, PHARMD

• Optometrist in Boise, ID
• Providers in Boise, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.