Individual provider Active NPI

Alexander Durrant

  • Optometrist
  • Twin Falls, ID
National Provider Identifier
1174269476
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100573 Issued in ID
Practice address
1605 Blue Lakes Blvd N Ste a
Twin Falls, ID 83301-3322
Phone
(208) 417-1020
NPI assigned
May 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-100573 ID Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1605 Blue Lakes Blvd N Ste a
Twin Falls, ID 83301-3322

Mailing address

3485 N Cole Rd Unit 45479
Boise, ID 83711-1095
Phone (833) 776-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221209001942 ID Practitioner - Optometry 3476922667 Reassigns benefits to 1 organization
I20230320001687 UT Practitioner - Optometry 3476922667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LWK P CGroup PAC ID 5890824247, 14 clinicians

Practice addresses (Care Compare)

4013 Yellowstone Ave
Suite D
Chubbuck, ID 83202-1984
Phone (208) 297-7019

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Quality
77.91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Pros of Logan LLC Optometrist CurrentSince Mar 16, 2023 Accepting new patients
LWK, P.C. Optometrist CurrentSince Sep 1, 2022 Accepting new patients

Locations

291 N Milwaukee St
Ste A3
Boise, ID 83704
Phone (208) 297-7019

3485 N Cole Rd
Unit 45479
Boise, ID 83711

4013 Yellowstone Ave
Ste D
Pocatello, ID 83202
Phone (208) 297-7019

1605 Blue Lakes Blvd N
Ste A
Twin Falls, ID 83301
Phone (208) 297-7019

1475 N Main St
Ste 103
Logan, UT 84341
Phone (208) 297-7019

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1174269476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 N COLE RD UNIT 45479",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837111095",
            "telephone_number": "833-776-2020",
            "fax_number": "208-736-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 BLUE LAKES BLVD N STE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013322",
            "telephone_number": "208-417-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURRANT",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-10",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100573",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.