Roy Lavern Clapper, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-796 Issued in ID

Practice address

355 E Neider Ave
Coeur D Alene, ID 83815-3723

Phone

(208) 676-7356

Fax

(208) 676-7384

NPI assigned

Aug 26, 2006

Sex

Male

Sole proprietor

No

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.

• Eagle Eye Vision Services

  • Optometrist
  • Coeur D'Alene, ID
  • NPI 1447496427
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2015 through Jul 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104934686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2592",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838352592",
            "telephone_number": "208-676-7356",
            "fax_number": "208-676-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E NEIDER AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838153723",
            "telephone_number": "208-676-7356",
            "fax_number": "208-676-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAPPER",
        "first_name": "ROY",
        "middle_name": "LAVERN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-796",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Emmet Ciabattoni, MD
• Katlin May Cicchetti, PHARMD
• Cinch Health PLLC
• Casey L Cinkovich, LCPC
• Angela Ruth Clancy, LCPC
• Emalie Clark
• Hatta Laura Clark, DDS
• John Harrison Clark, DPT
• Randil L Clark, M.D.
• Sarena Clark

• All providers in Coeur D Alene, ID
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.