Primary Eyecare Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-782 Issued in ID

Legal business name

PRIMARY EYECARE INC

Practice address

10454 W Overland Rd
Boise, ID 83709-1433

Phone

(208) 672-1370

Fax

(208) 672-1404

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Richard C Murray

Title

Owner

Phone

(208) 672-1370

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lifetime Optometry Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Ball, OD

  • Optometrist
  • Boise, ID
  • NPI 1275233637
  NPD
• Stephen Charles Hunter, O. D.

  • Optometrist
  • Boise, ID
  • NPI 1285748772
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1083819080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10454 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091433",
            "telephone_number": "208-672-1370",
            "fax_number": "208-672-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10454 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091433",
            "telephone_number": "208-672-1370",
            "fax_number": "208-672-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-672-1370"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806071300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Lynn Priest, LPC
• Primary Behavioral Health Services
• Primary Behavioral Health Services
• Primary Behavioral Health Services
• Primary Behavioral Health Services
• Primary Peak LLC
• Prime Providers Id LLC
• Efrain Primero
• Annie Goitein Prince, LCSW
• Michelle Prince, LMSW

• 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 Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.