Blackfoot Vision Care Associates

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BLACKFOOT VISION CARE ASSOCIATES

Practice address

34 SE Main St
Blackfoot, ID 83221-5094

Phone

(208) 785-2025

NPI assigned

Apr 13, 2015

Last updated

Apr 13, 2015By 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. Gary J Lattimore, OD

Title

Optometrist

Phone

(208) 785-2025

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Cody E Jones, O.D.

  • Optometrist
  • Blackfoot, ID
  • NPI 1255426912
  NPD (past)

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1629464052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SE MAIN ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832215094",
            "telephone_number": "208-785-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SE MAIN ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832215094",
            "telephone_number": "208-785-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKFOOT VISION CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "LATTIMORE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "208-785-2025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blackfoot Medical Clinic Surgeons
• Blackfoot Medical Clinic, Inc
• Blackfoot Operations LLC (The Willows)
• Blackfoot School Dist #55
• Blackfoot Smiles, P.a.
• Bluebird Family Eye Care PLLC
• BMH Inc (Bingham Memorial Specialists)
• BMH Inc
• BMH Inc (Bingham Memorial Hospital Pharmacy)
• BMH Inc (New Leaf Psychiatric Unit)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.