Carter Vision Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100084 Issued in ID

Legal business name

CARTER VISION CARE, PLLC

Practice address

1157 E Puffin St
Meridian, ID 83642-7444

Phone

(208) 880-6891

NPI assigned

Nov 11, 2010

Last updated

Nov 11, 2010By 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

Susan Moyer

Title

Billing Manager

Phone

(208) 713-0104

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 3

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.

• Brian Peter Jensen, OD

  • Optometrist
  • Fallon, NV
  • NPI 1396944773

  ID

  Medicare reassignment NPD
• Lee James Carter, O.D.

  • Optometrist
  • Mountain Home, ID
  • NPI 1891789368
  Medicare reassignment
• Justin David Sparhawk, OD

  • Corneal and Contact Management Optometrist
  • Nampa, ID
  • NPI 1669552048
  NPD (past)

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1073814737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 E PUFFIN ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427444",
            "telephone_number": "208-880-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 E PUFFIN ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427444",
            "telephone_number": "208-880-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTER VISION CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "208-713-0104"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1891789368",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807254900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan A Carrell
• Michala Lin Carrillo
• Judith Lynn Carroll
• Shannon Marie Carrothers
• Tanya Shylo Carson, PT, DPT
• Kayle Carter, PHARMD
• Savannah Rose Carter
• Savannah Vlassek Carter, LPC
• Ryan Casey
• Claire Cashman, M.S., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.