Organization Active NPI

Jason N Hurley O.D., PC

Doing business as EyeCare of Rigby

  • Optometrist
  • Rigby, ID
National Provider Identifier
1629272323
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP100063 Issued in ID
Legal business name
JASON N HURLEY O.D., PC
Doing business as
EyeCare of Rigby
Practice address
711 Rigby Lake Dr Ste 301
Rigby, ID 83442-5334
Phone
(208) 745-0181
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Jason Hurley, ODNPI 1801859889
Title
Owner/OD
Phone
(208) 745-0181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ODP100063 ID Primary

Addresses

Primary practice location

711 Rigby Lake Dr Ste 301
Rigby, ID 83442-5334

Mailing address

711 Rigby Lake Dr Ste 301
Rigby, ID 83442-5334
Phone (208) 745-0181

Other identifiers 4

IdentifierTypeStateIssuer
806929900MedicaidID
5293100001OtherIDNORIDIAN
V6531OtherIDBLUE CROSS OF IDAHO
000010147608OtherIDREGENS BLUE SHIELD OF IDA

Other names 1

  • EyeCare of Rigby Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040828000131 ID Part B Supplier - Clinic/Group Practice 6305811803 Receives reassigned benefits from 3 practitioners
Practice locations: Rigby, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2123685Eyecare of Rigby711 Rigby Lake Dr Ste 301, Rigby, ID 83442Certificate of waiverDec 27, 2026

National Provider Directory

National Provider Directory

Locations

711 Rigby Lake Dr
Ste 301
Rigby, ID 83442
Phone (208) 745-0181

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1629272323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 RIGBY LAKE DR STE 301",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425334",
            "telephone_number": "208-745-0181",
            "fax_number": "208-745-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 RIGBY LAKE DR STE 301",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425334",
            "telephone_number": "208-745-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON N HURLEY O.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/OD",
        "authorized_official_telephone_number": "208-745-0181",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP100063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806929900",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN",
            "identifier": "5293100001",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "V6531",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENS BLUE SHIELD OF IDA",
            "identifier": "000010147608",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeCare of Rigby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rigby, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.