Active NPI
William Ernest Faure, OD
- Optometrist
- Boise, ID
National Provider Identifier
1154400133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP626
- Practice address
- 10480 Garverdale CT
Suite 806
Boise, ID 83704 - Phone
- (208) 322-1771
- Fax
- (208) 377-9703
- NPI assigned
- Nov 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODP626 | ID | Primary |
Addresses
Primary practice location
10480 Garverdale CT
Suite 806
Boise, ID 83704
Mailing address
10480 Garverdale CT
Suite 806
Boise, ID 83704
Phone (208) 322-1771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODP626 | ID | MD | Optometrist |
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.
-
- Optometrist
- Boise, ID
- NPI 1194920421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154400133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10480 GARVERDALE CT",
"address_2": "SUITE 806",
"city": "BOISE",
"state": "ID",
"postal_code": "83704",
"telephone_number": "208-322-1771",
"fax_number": "208-377-9703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10480 GARVERDALE CT",
"address_2": "SUITE 806",
"city": "BOISE",
"state": "ID",
"postal_code": "83704",
"telephone_number": "208-322-1771",
"fax_number": "208-377-9703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAURE",
"first_name": "WILLIAM",
"middle_name": "ERNEST",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.