Individual provider Active NPI

Richard C Murray, OD

  • Optometrist
  • Boise, ID
National Provider Identifier
1215001383
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP782 Issued in ID
Practice address
10454 Overland Rd
Boise, ID 83709-1433
Phone
(208) 672-1370
Fax
(208) 672-1404
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP782 ID Primary

Addresses

Primary practice location

10454 Overland Rd
Boise, ID 83709-1433

Mailing address

10454 Overland Rd
Boise, ID 83709-1433
Phone (208) 672-1370

Other identifiers 1

IdentifierTypeStateIssuer
004321300MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP782IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Real Eyes LLC Optometrist CurrentSince Jan 26, 2025 Accepting new patients

Locations

10454 W Overland Rd
Boise, ID 83709
Phone (208) 672-1370

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1215001383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10454 OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091433",
            "telephone_number": "208-672-1370",
            "fax_number": "208-672-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10454 OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091433",
            "telephone_number": "208-672-1370",
            "fax_number": "208-672-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "RICHARD",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004321300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.