Individual provider Active NPI

Emily Jean Naugle, OD

  • Optometrist
  • Boise, ID
National Provider Identifier
1639331069
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100161 Issued in ID
Practice address
1205 S Five Mile Rd
Boise, ID 83709-1304
Phone
(208) 322-8381
Fax
(208) 322-8381
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-100161 ID Primary

Addresses

Primary practice location

1205 S Five Mile Rd
Boise, ID 83709-1304

Mailing address

901 12TH Ave S
Nampa, ID 83651-4658
Phone (208) 466-9251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 25, 2025 through Nov 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-100161IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Optical Optometrist PastSince Aug 10, 2009 Accepting new patients
Idaho Eyecare Center Optometrist PastSince Jul 7, 2008 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1639331069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 12TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514658",
            "telephone_number": "208-466-9251",
            "fax_number": "208-463-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 S FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091304",
            "telephone_number": "208-322-8381",
            "fax_number": "208-322-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUGLE",
        "first_name": "EMILY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.