David M Ward Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP 682 Issued in ID

Practice address

1205 S Five Mile Rd
Boise, ID 83709-1304

Phone

(208) 322-8381

Fax

(208) 322-8389

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Idaho Eyecare Center

  • Optometrist
  • Boise, ID
  • NPI 1992899181
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1245300276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 S FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091304",
            "telephone_number": "208-322-8381",
            "fax_number": "208-322-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091304",
            "telephone_number": "208-322-8381",
            "fax_number": "208-322-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP 682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "V-527-7",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Warburton, DPT
• Brandon Garland Ward, RN
• Brittney Ward, BCBA
• Camille Jazmine Ward
• Cody Ward
• Elizabeth Ward
• Jennifer M Ward, PHARM.D.
• Kelsey Ward
• Meredith Ward, LMSW
• Taylor Ashton Cossette Ward, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.