Bradley Lynn Rhinehart, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100062 Issued in ID

Practice address

700 E 17TH St
Idaho Falls, ID 83404-6152

Phone

(208) 522-2839

Fax

(208) 522-0843

NPI assigned

Aug 22, 2006

Last updated

Aug 2, 2013By the provider in NPPES

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

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bradley L Rhinehart OD PA

  • Optometrist
  • Idaho Falls, ID
  • NPI 1700063567
  Medicare reassignment NPD Authorized official
• Dennis Radford OD PA

  • Optometrist
  • Idaho Falls, ID
  • NPI 1831371467
  NPD (past)
• Snake River Eye Associates of Shelley, PLLC

  • Optometrist
  • Shelley, ID
  • NPI 1366794299
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1356457030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 EASTWOOD CIR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064740",
            "telephone_number": "208-542-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046152",
            "telephone_number": "208-522-2839",
            "fax_number": "208-522-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHINEHART",
        "first_name": "BRADLEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807144200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Resare, LPC
• Restoration Mental Health
• Revitalize Medical Supply (Healix Diagnostics)
• Michael Rex, LCSW
• Fernando Reyna
• Mehak Riaz, MD
• Danielle Jean Rice
• Haley Rich, BS
• Loren McKay Rich, DDS
• Richard a New MD PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.