Tobin Jack Hale, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100592 Issued in ID

Practice address

230 W Mallard Dr
Boise, ID 83706-6600

Phone

(208) 342-4841

NPI assigned

Jun 29, 2017

Last updated

Aug 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boise Mountain Eye Associates PLLCGroup PAC ID 7012097348, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://familyeyes.ef.prod.fhir.ema-api.com/fhir/r4/

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.

• Boise Mountain Eye Associates, PLLC

  dba Boise Mountain Eyecare

  • Optometrist
  • Boise, ID
  • NPI 1902007263
  Medicare reassignment Care Compare group NPD
• Ada Vision Center East PLLC

  dba Paul Bigelow OD

  • Optometrist
  • Boise, ID
  • NPI 1548786098
  Medicare reassignment NPD
• Ada Vision Center P.a.

  • Optometrist
  • Boise, ID
  • NPI 1407869589
  Medicare reassignment NPD
• Family Eyecare Specialists PLLC

  dba William T Black

  • Optometrist
  • Caldwell, ID
  • NPI 1588840557
  Medicare reassignment NPD
• Family Eyecare Specialists PLLC

  • Optometrist
  • Middleton, ID
  • NPI 1437012770
  NPD
• Insight Optical

  • Optometrist
  • Caldwell, ID
  • NPI 1588830665
  NPD (past)
• Emergency Medical & Surgical Specialists of Colorado LLC

  • Critical Access Hospital
  • Denver, CO
  • NPI 1144669102
  NPD (past)

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1467973529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3881 W FARLAM DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W MALLARD DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066600",
            "telephone_number": "208-342-4841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 Fairview Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836055433",
            "country_code": "US",
            "telephone_number": "208-459-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13075 W Persimmon Ln # 110",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837131986",
            "country_code": "US",
            "telephone_number": "208-938-9900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1213 N Jacob Alcott Way",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836875198",
            "country_code": "US",
            "telephone_number": "208-697-5546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "TOBIN",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2188",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdi Haji
• Michael V Hajjar, MD
• Diane Hakes, LCSW
• Joseph Hakizimana
• Amy Hale, LMSW
• Aara Canlas Hall, PHARMD
• Anthony Grant Hall, M.COUN., L.P.C.
• Brian John Hall, M.D.
• Cathy C Hall, LCSW
• Christine M. Hall, P.A.-C

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

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