Organization Active NPI

Reframed Eye LLC

  • Optometrist
  • Idaho Falls, ID
National Provider Identifier
1255170205
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
REFRAMED EYE LLC
Practice address
3508 S 25TH E
Idaho Falls, ID 83404-5027
Phone
(208) 557-3222
Fax
(208) 561-8692
NPI assigned
May 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Jaren Olsen, ODNPI 1821597519
Title
Owner
Phone
(208) 557-3222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X

Addresses

Primary practice location

3508 S 25TH E
Idaho Falls, ID 83404-5027

Mailing address

3508 S 25TH E
Idaho Falls, ID 83404-5027
Phone (208) 557-3222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@reframedeye.direct.kno2fy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250331001492 ID Part B Supplier - Clinic/Group Practice 1850814898 Receives reassigned benefits from 1 practitioner
Practice locations: Idaho Falls, ID

National Provider Directory

National Provider Directory

Locations

3508 S 25th E
Idaho Falls, ID 83404
Phone (208) 557-3222

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1255170205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 S 25TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045027",
            "telephone_number": "208-557-3222",
            "fax_number": "208-561-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 S 25TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045027",
            "telephone_number": "208-557-3222",
            "fax_number": "208-561-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFRAMED EYE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "JAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-557-3222",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@reframedeye.direct.kno2fy.com",
            "affiliation": "N",
            "address_1": "3508 S 25th E",
            "city": "Idaho Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "834045027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.