Active NPI
Robin Ray Lindauer, OD
- Optometrist
- Hayden, ID
National Provider Identifier
1740262765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP751
- Practice address
- 550 W Honeysuckle Ave
Hayden, ID 83835-6042 - Phone
- (208) 209-4078
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODP751 | ID | Primary |
Addresses
Primary practice location
550 W Honeysuckle Ave
Hayden, ID 83835-6042
Mailing address
3204 E Fernan Hill Rd
Coeur D Alene, ID 83814-7728
Phone (208) 659-8902
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050606000996 | ID | Practitioner - Optometry | 4385687896 | Practice locations: Hayden, ID |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
550 W Honeysuckle Ave
Hayden, ID 83835-6042
Phone (208) 659-8902
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODP751 | ID | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375574400000",
"number": "1740262765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 E FERNAN HILL RD",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838147728",
"telephone_number": "208-659-8902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W HONEYSUCKLE AVE",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838356042",
"telephone_number": "208-209-4078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDAUER",
"first_name": "ROBIN",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2013-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayden, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2013; 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.