Active NPI
Reframed Eye LLC
- Optometrist
- Idaho Falls, ID
National Provider Identifier
1255170205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaren Olsen, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Low Vision Rehabilitation Optometrist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.