Individual provider Active NPI

Nathan Curran Price, O.D.

  • Optometrist
  • Mountain Home, ID
National Provider Identifier
1316038409
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-966 Issued in ID
Practice address
855 W 6TH S
Mountain Home, ID 83647-3335
Phone
(208) 587-2020
Fax
(208) 587-3349
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-966 ID Primary

Addresses

Primary practice location

855 W 6TH S
Mountain Home, ID 83647-3335

Mailing address

855 W 6TH S
Mountain Home, ID 83647-3335
Phone (208) 587-2020

Other identifiers 1

IdentifierTypeStateIssuer
804094500MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120312000118 ID Practitioner - Optometry 5193895324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elmore County Eyecare, PA.Group PAC ID 6103996335, 3 clinicians

Practice addresses (Care Compare)

855 W 6TH
Mountain Home, ID 83647-3335
Phone (208) 587-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elmore County Eyecare, PA. Optometrist CurrentSince May 23, 2017 Accepting new patients

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1316038409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W 6TH S",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836473335",
            "telephone_number": "208-587-2020",
            "fax_number": "208-587-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W 6TH S",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836473335",
            "telephone_number": "208-587-2020",
            "fax_number": "208-587-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "NATHAN",
        "middle_name": "CURRAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804094500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, ID

Sources for this page

Verify at the official NPI Registry.