Leavitt Vision Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100165 Issued in ID

Legal business name

LEAVITT VISION ASSOCIATES

Practice address

350 N Milwaukee St Ste 1188
Boise, ID 83704-9128

Phone

(208) 376-0893

Fax

(208) 376-3029

NPI assigned

May 28, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah D Leavitt

Title

Manager

Phone

(208) 863-0647

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1497980833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N MILWAUKEE ST STE 1188",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049128",
            "telephone_number": "208-376-0893",
            "fax_number": "208-376-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N MILWAUKEE ST STE 1188",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049128",
            "telephone_number": "208-376-0893",
            "fax_number": "208-376-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAVITT VISION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-863-0647",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Leaf, MA CCC-SLP
• Alexandra Jean Leahy, LMSW
• Bridget Mary Leake
• Kellie Ann Leaman, CRNA
• J Timothy Leavell, MD
• Jane Leblond, RPH
• Wendi Lebrett
• Richard Jacob Lecheminant, DO
• Kaylin Lechner
• Sarah Deanna Leddige, PT, DPT, CSCS

• 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 May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.