Mobilitycares Washington LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MOBILITYCARES WASHINGTON LLC

Practice address

13243 Lewis Ranch Rd
Caldwell, ID 83607-1029

Phone

(208) 995-1122

NPI assigned

Nov 22, 2023

Organization subpart

No

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

Authorized official

Name

Landon Hagberg, ODNPI 1699087437

Title

Owner

Phone

(208) 608-3776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 6

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

• Jett Scrimsher, OD

  • Optometrist
  • Hayden, ID
  • NPI 1912524513

  WA

  Medicare reassignment Care Compare group NPD
• Matthew D. Georgeson, O.D.

  • Optometrist
  • River Falls, WI
  • NPI 1467552299

  WA

  Medicare reassignment Care Compare group NPD
• Cameron Horch, O.D.

  • Optometrist
  • Battle Ground, WA
  • NPI 1861777914
  Medicare reassignment Care Compare group NPD
• Weston Whitworth, OD

  • Optometrist
  • Shreveport, LA
  • NPI 1083284129

  WA

  Medicare reassignment Care Compare group NPD
• Keith Lyndon Miller, O.D.

  • Optometrist
  • Stevenson, WA
  • NPI 1962437285
  Medicare reassignment NPD
• Landon Knight Hagberg, O.D.

  • Optometrist
  • Nampa, ID
  • NPI 1699087437
  NPD (past) Authorized official

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1184499741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13243 LEWIS RANCH RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836071029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13243 LEWIS RANCH RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836071029",
            "telephone_number": "208-995-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITYCARES WASHINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "HAGBERG",
        "authorized_official_first_name": "LANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-608-3776",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Masayoshi Miyazaki, NP
• Mobilitycares Arizona LLC
• Mobilitycares LLC
• Mobilitycares Oregon LLC
• Mobilitycares Utah LLC
• Teri Mohr, R.N.
• Rachel Irene Molm, RPH
• Richard A. Montgomery, M.D.
• Steven Richard Moore, MPT
• Susan Moore

• Optometrist in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.