Drew Hargrove, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

100628 Issued in ID

Practice address

7960 W Rifleman St Ste 150
Boise, ID 83704-9065

Phone

(208) 377-8899

NPI assigned

Jun 27, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Pacific University - College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey C JohnsonGroup PAC ID 5092763565, 4 clinicians

Hayden Vision Source PLLCGroup PAC ID 6800282427, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeffrey C. Johnson

  • Optometrist
  • Boise, ID
  • NPI 1568632941
  Medicare reassignment Care Compare group NPD
• Hayden Vision Source PLLC

  • Optometrist
  • Hayden, ID
  • NPI 1548999840
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1609552215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 W RIFLEMAN ST STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049065",
            "telephone_number": "208-377-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 W RIFLEMAN ST STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049065",
            "telephone_number": "208-377-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "DREW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "100628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amee E Hardy, LCPC
• Amy Hardy, M.S. CCC-SLP
• Dana L Hardy, LCSW
• Remick Lei Hardy, COTA
• Zoe Anna Hardy
• Ashley Harker, LMT
• Rachael Harkin, PT
• Donnie Harkins, CADC
• Elena Theressa Harlan Drewel, PH.D.
• Marissa Harle

• 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 Jun 27, 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.