Nathaneal D Harrell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100203 Issued in ID

Practice address

514 Oak St
Sandpoint, ID 83864

Phone

(208) 265-7965

NPI assigned

Jun 14, 2010

Last updated

Mar 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Southern College of Optometry, 2010

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.

• Pend Oreille Vision Care

  • Clinic/Center
  • Sandpoint, ID
  • NPI 1871849059

  Optometrist

  Medicare reassignment NPD Authorized official
• Pend Oreille Vision Care

  dba Priest River Eye Care

  • Optometrist
  • Priest River, ID
  • NPI 1104316785
  NPD Authorized official
• Spec-Techs

  • Optometrist
  • Sandpoint, ID
  • NPI 1790485431
  NPD Authorized official
• Mountain Vision Eye Care

  • Optometrist
  • Sandpoint, ID
  • NPI 1225227879
  NPD (past)

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1437470457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 OAK ST STE A",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641480",
            "telephone_number": "208-265-7965",
            "fax_number": "208-265-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 OAK ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "83864",
            "telephone_number": "208-265-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "NATHANEAL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarrod Hansen
• Matthew Hansen, PA-C
• Lisa Darlene Harcourt, LMT
• Lyle D Harder, P.T.
• Michaela Hunter Harrell, DPT
• Robert H Harrison, DDS
• Cameron Ray Hart, DDS
• Sara Hathaway, LMT
• Renae Haug
• Haven Mental Wellness LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.