Active NPI
Thomas L Simmons
Doing business as Teton Valley Vision Clinic
- Optometrist
- Victor, ID
National Provider Identifier
1447444716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP-100009
- Legal business name
- THOMAS L SIMMONS
- Doing business as
- Teton Valley Vision Clinic
- Practice address
- 741 S 50 W Ste B
Victor, ID 83455-5129 - Phone
- (208) 787-3937
- Fax
- (208) 787-3939
- NPI assigned
- Aug 30, 2007
- Last updated
- Jun 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Lyle Simmons, O.D.
- Title
- Optometrist
- Phone
- (208) 787-3937
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODP-100009 | ID | Primary |
Addresses
Primary practice location
741 S 50 W Ste B
Victor, ID 83455-5129
Mailing address
741 S 50 W Ste B
Victor, ID 83455-5345
Phone (208) 787-3937
Other names 1
- Teton Valley Vision Clinic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Victor, ID
- NPI 1144313305
-
- Optometrist
- Driggs, ID
- NPI 1376299040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1447444716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 S 50 W STE B",
"city": "VICTOR",
"state": "ID",
"postal_code": "834555345",
"telephone_number": "208-787-3937",
"fax_number": "208-787-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "741 S 50 W STE B",
"city": "VICTOR",
"state": "ID",
"postal_code": "834555129",
"telephone_number": "208-787-3937",
"fax_number": "208-787-3939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS L SIMMONS",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-30",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "LYLE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "208-787-3937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP-100009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Teton Valley Vision Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Victor, ID
- Teton Dietetics LLC
- Teton Headwaters, Inc Dba Aspen Wellness
- Teton Valley Health Care, Inc (Victor Clinic)
- Teton Valley Hosital & Surgicenter (Victor Medical Clinic)
- Teton Valley Vision PC
- Valley in Motion Physical Therapy, LLC
- W.E.S.T. Physical Therapy, PLLC
- Babbs L Weissman, PPC
- Emily Williams, OTR
- Janene Caldwell Witherite, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.