Post Falls Optometric Physicians PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP- 100218 Issued in ID

Legal business name

POST FALLS OPTOMETRIC PHYSICIANS PLLC

Doing business as

Post Falls Optometric Physicians

Practice address

185 W 4TH Ave
Ste a
Post Falls, ID 83854-5089

Phone

(208) 773-7434

Fax

(208) 777-0836

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Missy H Dunn

Title

Billing Specialist/ Clinic Manager

Phone

(208) 773-7434

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Post Falls Optometric Physicians Doing business as

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 4

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

• Rebecca Jael Jangula, OD

  • Optometrist
  • Spokane Valley, WA
  • NPI 1205063104

  ID

  Medicare reassignment Care Compare group NPD
• Jesse James Jangula, O.D.

  • Optometrist
  • Post Falls, ID
  • NPI 1942534235
  Medicare reassignment Care Compare group
• Elwin Winfield Schutt, O.D.

  • Optometrist
  • Post Falls, ID
  • NPI 1598799801
  NPD (past)
• Laura J Fischer, OD

  • Optometrist
  • Liberty Lake, WA
  • NPI 1659460186
  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1265688584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 W 4TH AVE STE A",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544979",
            "telephone_number": "208-773-7434",
            "fax_number": "208-777-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 W 4TH AVE",
            "address_2": "STE A",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545089",
            "telephone_number": "208-773-7434",
            "fax_number": "208-777-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST FALLS OPTOMETRIC PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MISSY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BILLING SPECIALIST/ CLINIC MANAGER",
        "authorized_official_telephone_number": "208-773-7434",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP- 100218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8082273",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Post Falls Optometric Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Post Falls Family Medicine P.a.
• Post Falls Hospital, LLC (Post Falls ER & Hospital)
• Post Falls Internal Medicine and Pediatrics PA
• Post Falls Ip, PLLC
• Post Falls Medical Investors LLC (Life Care Centers of Post Falls)
• Post Falls Orthodontics PLLC (Post Falls Orthodontics)
• Post Falls Physical Therapy LLC
• Post Falls Vision Clinic PLLC
• Nicole Prater, DC
• Trevor Prater, DC

• Optometrist in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.