Trenton G. Warner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1774 Issued in AZ

Practice address

1108 S Washington Ave
Emmett, ID 83617-3535

Phone

(208) 365-2020

Fax

(208) 365-3854

NPI assigned

Jul 12, 2007

Last updated

Oct 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern California College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emmett Eye Center, PLLCGroup PAC ID 9931367166, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Emmett Eye Center, PLLC

  dba Emmett Vision Center

  • Optometrist
  • Emmett, ID
  • NPI 1811269350
  Medicare reassignment Care Compare group NPD Authorized official
• Thomas W Woodward OD PC

  • Optometrist
  • Emmett, ID
  • NPI 1447229174
  NPD (past)
• Shopko Stores Operating Co. LLC

  dba ShopKo Optical 060

  • Eyewear Supplier
  • Albert Lea, MN
  • NPI 1528010642
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1184823049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 S WASHINGTON AVE",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173535",
            "telephone_number": "208-365-2020",
            "fax_number": "208-365-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 S WASHINGTON AVE",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173535",
            "telephone_number": "208-365-2020",
            "fax_number": "208-365-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "TRENTON",
        "middle_name": "G.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "100-152",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46009990",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184823049",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter Knox Memorial Hospital
• Walter Knox Memorial Hospital (Valor Health)
• Walter Knox Memorial Hospital (Valor Health)
• Walter Knox Memorial Hospital (Valor Health - Emmett Medical Center)
• Walter Knox Memorial Hospital
• Emme Warnken
• Warren Willis DMD P.C. (Emmett Dental Group P.C.)
• Laura Ann Watson, LCSW
• Lisa Watson, LMSW, LCSW
• Ty C Weber, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.