NPIMap

Organization Active NPI

Eyecare Associates of Cole Village, P.a.

  • Optometrist
  • Boise, ID
National Provider Identifier
1649236571
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP524 Issued in ID
Legal business name
EYECARE ASSOCIATES OF COLE VILLAGE, P.A.
Practice address
3417 N Cole Rd
Boise, ID 83704-4406
Phone
(208) 377-1102
Fax
(208) 377-5853
NPI assigned
Apr 20, 2006
Last updated
Feb 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Dr. James W Vail, O.D.NPI 1023205259
Title
Owner/Doctor
Phone
(208) 377-1102

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
Optometrist 152W00000X ODP524 ID Primary

Addresses

Primary practice location

3417 N Cole Rd
Boise, ID 83704-4406

Mailing address

3417 N Cole Rd
Boise, ID 83704-4406
Phone (208) 377-1102

National Provider Directory

National Provider Directory

Locations

3417 N Cole Rd
Boise, ID 83704
Phone (208) 377-1102

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1649236571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044406",
            "telephone_number": "208-377-1102",
            "fax_number": "208-377-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044406",
            "telephone_number": "208-377-1102",
            "fax_number": "208-377-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE ASSOCIATES OF COLE VILLAGE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "VAIL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "208-377-1102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.