Vision One McCall Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISION ONE MCCALL INC

Practice address

313 Deinhard Lane
McCall, ID 83638-3030

Phone

(208) 634-2020

Fax

(208) 634-7066

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Randy Andregg, O.D.

Title

Owner

Phone

(208) 634-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Vision One McCall Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory N Bodily, O.D.

  • Optometrist
  • Boise, ID
  • NPI 1013008614
  NPD (past)
• Amber L Simonson, O.D.

  • Optometrist
  • Boise, ID
  • NPI 1386689156
  NPD (past)
• Aaron J. Warner, O.D.

  • Optometrist
  • Eagle, ID
  • NPI 1750346524
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200787200000",
    "number": "1619043155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3030",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836383030",
            "telephone_number": "208-634-2020",
            "fax_number": "208-634-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 DEINHARD LANE",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836383030",
            "telephone_number": "208-634-2020",
            "fax_number": "208-634-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION ONE MCCALL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-01-20",
        "status": "A",
        "authorized_official_last_name": "ANDREGG",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-634-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "000010144122",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "V3785",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision One McCall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Deborah Diane Wade, LMT
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• Elizabeth Ann Watson, RN
• Adam Weller, M.D.
• Julie L. Welty, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2008; 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.