Organization Active NPI

Eye 2 Eye PLLC

  • Optometrist
  • Eagle, ID
National Provider Identifier
1467674572
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP930 Issued in ID
Legal business name
EYE 2 EYE PLLC
Practice address
440 E State St
Suite 140
Eagle, ID 83616-4966
Phone
(208) 939-7000
Fax
(208) 939-5807
NPI assigned
May 2, 2007
Last updated
Jun 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Dr. Jeffrey E. Schwers, O.D.NPI 1730272279
Title
Optometrist
Phone
(208) 939-7000

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 ODP930 ID Primary

Addresses

Primary practice location

440 E State St
Suite 140
Eagle, ID 83616-4966

Mailing address

440 E State St
Suite 140
Eagle, ID 83616-4966
Phone (208) 939-7000

Other identifiers 1

IdentifierTypeStateIssuer
000287600MedicaidID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050915000024 ID Part B Supplier - Clinic/Group Practice 5294768776 Receives reassigned benefits from 4 practitioners
Practice locations: Eagle, ID; Star, ID

National Provider Directory

National Provider Directory

Locations

440 E State St
Ste 140
Eagle, ID 83616
Phone (208) 939-7000

170 S Seneca Springs Way
Star, ID 83669
Phone (208) 898-4112

170 S Seneca Springs Way
#100
Star, ID 83669
Phone (208) 898-4112

Practitioners & affiliated clinicians

Practitioners 5

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1467674572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E STATE ST",
            "address_2": "SUITE 140",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164966",
            "telephone_number": "208-939-7000",
            "fax_number": "208-939-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E STATE ST",
            "address_2": "SUITE 140",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164966",
            "telephone_number": "208-939-7000",
            "fax_number": "208-939-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE 2 EYE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "SCHWERS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "208-939-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000287600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.