Individual provider Active NPI

Stephen Thomas Reinschmidt, O.D.

  • Optometrist
  • Boise, ID
National Provider Identifier
1205161387
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100417 Issued in ID
Practice address
5680 W Gage St
Boise, ID 83706-1326
Phone
(208) 377-3937
Fax
(208) 377-9455
NPI assigned
Oct 7, 2009
Last updated
May 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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-100417 ID Primary
Optometrist 152W00000X 323 AK

Addresses

Primary practice location

5680 W Gage St
Boise, ID 83706-1326

Mailing address

5680 W Gage St
Boise, ID 83706-1326
Phone (208) 377-3937

Other practice location 1

2720 W Cherry Ln
Meridian, ID 83642-1137
Phone (208) 377-3937

Other identifiers 2

IdentifierTypeStateIssuer
1205161387MedicaidID
APPLIED FOROtherAKMEDICAID, MEDICARE PIN (APPLIED FOR)

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
I20171204002647 ID Practitioner - Optometry 5395991178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Quest Medical Center PAGroup PAC ID 0547528598, 6 clinicians

Practice addresses (Care Compare)

5680 W Gage St
Boise, ID 83706-1326
Phone (208) 377-3937

Merit-based Incentive Payment System (MIPS)

Final score
92.92 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
323AKMDOptometrist
ODP-100417IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Quest Medical Center, PA Optometrist CurrentSince Oct 22, 2017 Accepting new patients

Locations

5680 W Gage St
Boise, ID 83706
Phone (208) 377-3937

2720 W Cherry Ln
Meridian, ID 83642
Phone (208) 377-3937

3025 W Cherry Ln
Ste 207
Meridian, ID 83642
Phone (208) 377-3937

251 SW 19th St
Ontario, OR 97914
Phone (541) 889-3106

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": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1205161387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 W GAGE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061326",
            "telephone_number": "208-377-3937",
            "fax_number": "208-377-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 W GAGE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061326",
            "telephone_number": "208-377-3937",
            "fax_number": "208-377-9455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 W Cherry Ln",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836421137",
            "country_code": "US",
            "telephone_number": "208-377-3937",
            "fax_number": "208-377-9455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINSCHMIDT",
        "first_name": "STEPHEN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100417",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "323",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205161387",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID, MEDICARE PIN (APPLIED FOR)",
            "identifier": "APPLIED FOR",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.