Katherine Michele Baughman Gleason, OD, FAAO

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100170 Issued in ID

Practice address

8378 N Government Way
Hayden, ID 83835-9258

Phone

(208) 209-7100

Fax

(208) 209-7911

NPI assigned

Feb 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

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.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Idaho Eye Institute P aGroup PAC ID 8820182736, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kgleason@northidahoeye.intellechartdirect.net
• Direct secure messaging: kgleason@directaddress.net

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.

• North Idaho Eye Institute P a

  • Ophthalmology Physician
  • Coeur D Alene, ID
  • NPI 1699811646

  Optometrist

  Medicare reassignment Care Compare group NPD
• Clearview Eye Clinic LTD

  • Ophthalmology Physician
  • Moscow, ID
  • NPI 1407915325

  Optometrist

  Medicare reassignment NPD
• Clearview Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lewiston, ID
  • NPI 1265816003
  NPD (past)
• North Idaho Cataract & Laser Ctr

  • Ambulatory Surgical Clinic/Center
  • Coeur D Alene, ID
  • NPI 1518003516
  NPD (past)

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1720227010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 LINCOLN WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142540",
            "telephone_number": "208-770-3814",
            "fax_number": "208-691-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8378 N GOVERNMENT WAY",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359258",
            "telephone_number": "208-209-7100",
            "fax_number": "208-209-7911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1814 Lincoln Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142540",
            "country_code": "US",
            "telephone_number": "208-770-3814",
            "fax_number": "208-691-6327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "KATHERINE",
        "middle_name": "MICHELE BAUGHMAN",
        "credential": "OD, FAAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "100170",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808375601",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808375600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robbie J Garrett, APRN-C
• Carla J Gentry, NP
• Amber Gifford, LMT, LST
• Brian Vernon Gilmore, DDS
• Scott Dale Giltner
• Ashley Marie Golden, PHARM.D.
• Good Voodoo, LLC
• Grace Miller
• Anastasia Graham, LMT
• Keira Vale Greene, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.