Summit Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SUMMIT EYE CARE LLC

Practice address

3050 E Mullan Ave
Post Falls, ID 83854-8939

Phone

(986) 214-0288

NPI assigned

Mar 27, 2024

Organization subpart

No

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

Authorized official

Name

David Perez

Title

Coo

Phone

(801) 787-6637

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, MO2 enrollments

Enrollment records 2

Practitioners 1

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

• John Perez, OD

  • Optometrist
  • Midvale, UT
  • NPI 1841783693

  ID, MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1699526830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 E 925 S",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840152377",
            "telephone_number": "801-400-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 E MULLAN AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838548939",
            "telephone_number": "986-214-0288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 E Calumet St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549154149",
            "country_code": "US",
            "telephone_number": "385-800-5510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "801-787-6637"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Priscilla Stranak, MED
• Juli Stratton
• Michelle Strope, BSN, RN
• Christine Thibodeaux Sullivan, FNP
• Summit Behavior Support
• Summit Nutrition, LLC
• Superstars Occupational Therapy for Kids
• Superstars Occupational Therapy for Kids, PLLC
• Surgical Bariatrics Northwest, Inc. P.a.
• Amy Sutherland

• Optometrist in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.