For Your Eyes Only, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

505 Issued in ID

Legal business name

FOR YOUR EYES ONLY, LLC

Practice address

501 S Woodruff Ave
Idaho Falls, ID 83401-5200

Phone

(208) 522-6271

Fax

(208) 522-7217

NPI assigned

May 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Gary James Lattimore, O.D.NPI 1902863293

Title

Optometric Physician

Phone

(208) 522-6271

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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

• Gary J Lattimore, OD

  • Optometrist
  • Idaho Falls, ID
  • NPI 1902863293
  Medicare reassignment NPD Authorized official
• Leon C Peterson, O.D.

  • Optometrist
  • Idaho Falls, ID
  • NPI 1013943828
  Medicare reassignment NPD

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1407148109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015200",
            "telephone_number": "208-522-6271",
            "fax_number": "208-522-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015200",
            "telephone_number": "208-522-6271",
            "fax_number": "208-522-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR YOUR EYES ONLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "LATTIMORE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "208-522-6271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foothills Psychiatry and Addiction
• Foothills Rehabilitation & Performance Services
• Foothills Rehabilitation & Performance Services, PLLC
• Ashley N Ford, D.O.
• Forrester Academy, Inc. (Alturas International Academy)
• John Gregory Foster, CRNA
• Allen J Fowler, ADC
• Cody Fowler, P.A.-C

• 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 May 12, 2011; 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.