Trevor Delphous

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

641 N Hayes St
Moscow, ID 83843-3238

Phone

(208) 596-8988

NPI assigned

Dec 1, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1679178552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 N HAYES ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433238",
            "telephone_number": "208-596-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 N HAYES ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433238",
            "telephone_number": "208-596-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELPHOUS",
        "first_name": "TREVOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney De Los Santos, NREMT
• Angelica De Vincenzis
• Madeline Rose Dean
• Jennifer Dedios-Coile
• Hannah Claire Dejong, LPC
• Dental Depot
• Jamie C. Derrick, PH.D.
• Susan A Derry, MD
• Kimberly Ann Devich, RN
• Carley Shawn Devore, LMT

• Optician in Moscow, ID
• Providers in Moscow, ID by specialty
• Optician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.