Individual provider Active NPI

Lindsey C Warner, OD

  • Optometrist
  • Middleton, ID
National Provider Identifier
1023786555
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100545 Issued in ID
Practice address
622 E Main St
Middleton, ID 83644-3080
Phone
(208) 585-9500
Fax
(208) 585-9497
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-100545 ID Primary

Addresses

Primary practice location

622 E Main St
Middleton, ID 83644-3080

Mailing address

622 E Main St
Middleton, ID 83644-3080
Phone (208) 585-9500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address warnerli@hometownfamily.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211021001251 ID Practitioner - Optometry 9335537505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

622 E Main St
Middleton, ID 83644-3080
Phone (208) 585-9500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-100545IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Drew C Dayton Chartered Optometrist CurrentSince Oct 20, 2021 Accepting new patients

Locations

622 E Main St
Middleton, ID 83644
Phone (208) 585-9500

Interoperability endpoints

  • Direct secure messaging: warnerli@hometownfamily.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1023786555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 E MAIN ST",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836443080",
            "telephone_number": "208-585-9500",
            "fax_number": "208-585-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 E MAIN ST",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836443080",
            "telephone_number": "208-585-9500",
            "fax_number": "208-585-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "LINDSEY",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "warnerli@hometownfamily.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "secure messaging in Eyefinity EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "622 E Main St",
            "city": "Middleton",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836443080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middleton, ID

Sources for this page

Verify at the official NPI Registry.