Dick L Vester, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0640 Issued in ID

Practice address

425 Pine St
Wallace, ID 83873-2256

Phone

(208) 752-2020

Fax

(208) 556-7971

NPI assigned

Jul 14, 2006

Last updated

Jun 12, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vester Eye Clinic LLC

  • Optometrist
  • Wallace, ID
  • NPI 1497769186
  Authorized official Same address or phone

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1700802840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PINE ST",
            "city": "WALLACE",
            "state": "ID",
            "postal_code": "838732256",
            "telephone_number": "208-752-2020",
            "fax_number": "208-556-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PINE ST",
            "city": "WALLACE",
            "state": "ID",
            "postal_code": "838732256",
            "telephone_number": "208-752-2020",
            "fax_number": "208-556-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESTER",
        "first_name": "DICK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "0640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000783200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neuropathy Clinic L.L.C.
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• Teri Lee Schmehl, LPC
• Vester Eye Clinic LLC
• Wallace School District

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.