Organization Active NPI

Capital Eye Care PLLC

  • Optometrist
  • Boise, ID
National Provider Identifier
1457157406
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CAPITAL EYE CARE PLLC
Doing business as
Capital Eye Care.PLLC
Practice address
6700 W Emerald St
Boise, ID 83704-8727
Phone
(208) 336-7100
Fax
(208) 321-2710
NPI assigned
Feb 20, 2025
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Dr. Terrence James Reynolds, ODNPI 1386628162
Title
Clinic Director
Phone
(208) 336-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

6700 W Emerald St
Boise, ID 83704-8727

Mailing address

6700 W Emerald St
Boise, ID 83704-8727
Phone (208) 336-7100

Other names 1

  • Capital Eye Care.PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251105004064 ID Part B Supplier - Clinic/Group Practice 7113417452 Receives reassigned benefits from 2 practitioners
Practice locations: Boise, ID

National Provider Directory

National Provider Directory

Locations

6700 W Emerald St
Boise, ID 83704
Phone (208) 336-7100

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1457157406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048727",
            "telephone_number": "208-336-7100",
            "fax_number": "208-321-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048727",
            "telephone_number": "208-336-7100",
            "fax_number": "208-321-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "208-336-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Eye Care.PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.