Southern Idaho Ophthalmology PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M9542 Issued in ID

Legal business name

SOUTHERN IDAHO OPHTHALMOLOGY PLLC

Practice address

1415 Parkview Dr
Twin Falls, ID 83301-3250

Phone

(208) 734-8934

Fax

(208) 734-8974

NPI assigned

Nov 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. James Morgan Coombs, M.D.NPI 1760425169

Title

President

Phone

(208) 734-8934

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 7

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

• James Morgan Coombs, M.D.

  • Ophthalmology Physician
  • Twin Falls, ID
  • NPI 1760425169
  Medicare reassignment Authorized official
• Maria C Marez, OD

  • Optometrist
  • Twin Falls, ID
  • NPI 1578324547
  Medicare reassignment NPD
• Kyle Nathaniel Klingler, M.D.

  • Ophthalmology Physician
  • Twin Falls, ID
  • NPI 1861727323
  Medicare reassignment
• Brian Peter Jensen, OD

  • Optometrist
  • Fallon, NV
  • NPI 1396944773

  ID

  Medicare reassignment
• Delbert Oman, O.D.

  • Optometrist
  • Burley, ID
  • NPI 1457325383
  NPD (past)
• Eric B Pierce, O.D.

  • Optometrist
  • Burley, ID
  • NPI 1306107206
  NPD (past)
• Jack G. Zarybnisky, O.D.

  • Optometrist
  • Burley, ID
  • NPI 1588651772
  NPD (past)

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1093189581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 PARKVIEW DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013250",
            "telephone_number": "208-734-8934",
            "fax_number": "208-734-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PARKVIEW DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013250",
            "telephone_number": "208-734-8934",
            "fax_number": "208-734-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN IDAHO OPHTHALMOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "COOMBS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-734-8934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "M9542",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "M4223",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "M12126",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Idaho Hearing & Audiology
• Southern Idaho Cardiology Associates, P.L.L.C.
• Southern Idaho Examiners
• Southern Idaho Hearing & Audiology LLC
• Southern Idaho Home Health & Staffing
• Southern Idaho Pain Institute P.C.
• Southern Idaho Pain Institute P.C.
• Southern Idaho Radiology PA
• Southern Idaho Vision Alliance,PLLC
• Ryker N Spackman, DPT

• Ophthalmology Physician in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Ophthalmology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.