Individual provider Active NPI

Bruce Hamerl, O.D.

  • Optometrist
  • Boise, ID
National Provider Identifier
1114026606
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-847 Issued in ID
Practice address
8300 W Overland Rd
Boise, ID 83709-1639
Phone
(208) 321-9082
Fax
(208) 321-9179
NPI assigned
Sep 21, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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-847 ID Primary

Addresses

Primary practice location

8300 W Overland Rd
Boise, ID 83709-1639

Mailing address

3384 S Coleridge PL
Boise, ID 83706-5584
Phone (208) 385-7958

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
I20221101000297 ID Practitioner - Optometry 8729378229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8300 W Overland Rd
Boise, ID 83709-1639
Phone (208) 321-9082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce W Hamerl O D P C Optometrist CurrentSince Sep 15, 2022 Accepting new patients

Locations

8300 W Overland Rd
Boise, ID 83709
Phone (208) 321-9080

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1114026606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3384 S COLERIDGE PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065584",
            "telephone_number": "208-385-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091639",
            "telephone_number": "208-321-9082",
            "fax_number": "208-321-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMERL",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.