Family Eye Care of Orofino, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-729 Issued in ID

Legal business name

FAMILY EYE CARE OF OROFINO, P.A.

Doing business as

Family Eye Care

Practice address

180 Michigan Ave.
Orofino, ID 83544-9066

Phone

(208) 476-4814

Fax

(208) 476-3921

NPI assigned

Mar 26, 2009

Last updated

Jan 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rick G. Lundgren, O.D.NPI 1649266040

Title

President

Phone

(208) 476-4814

Specialties & licenses 1

Addresses

Other names 1

• Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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.

• Rick G Lundgren, O.D.

  • Optometrist
  • Orofino, ID
  • NPI 1649266040
  Medicare reassignment NPD Authorized official
• Jolene Marie McManus, B.A.

  • Specialist
  • Orofino, ID
  • NPI 1265769509
  NPD (past)

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1629210331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835440147",
            "telephone_number": "208-476-4814",
            "fax_number": "208-476-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MICHIGAN AVE.",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835449066",
            "telephone_number": "208-476-4814",
            "fax_number": "208-476-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE OF OROFINO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "LUNDGREN",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-476-4814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanne Evelyn Deyo, LCSW
• Discover Chiropractic Group PLLC
• Dr James Said Chiropractic and Naturopathic Physician Inc
• Sarah Dupea, LMSW
• Karla S Eisele, M.D.
• George Earl Fiegel, D.C.
• Fraun Flerchinger, M.D.
• Douglas L Frank, RPH
• Shelly Frances Frayser, MD
• Bryan A Garton, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.