Eye Pros Coeur D Alene LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE PROS COEUR D ALENE LLC

Doing business as

Eye Pros

Practice address

7307 N Culture
Coeur D'Alene, ID 83815

Phone

(833) 776-2020

NPI assigned

Apr 23, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Laurel George

Title

Credentialing Manager

Phone

(208) 954-9106

Specialties & licenses 1

Addresses

Other names 1

• Eye Pros Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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

• Lavar W Kofoed, O.D.

  • Optometrist
  • Boise, ID
  • NPI 1023231420
  Medicare reassignment NPD
• Jared Lambert

  • Optometrist
  • Coeur D Alene, ID
  • NPI 1548944275
  Medicare reassignment NPD

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1760279681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 N COLE RD UNIT 45479",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837111095",
            "telephone_number": "833-776-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 N CULTURE",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83815",
            "telephone_number": "833-776-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PROS COEUR D ALENE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "208-954-9106",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Pros",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Duncan, LMSW
• Eagle Eye Vision Services
• Ear, Nose & Throat of Coeur D'Alene, PA
• Randi Leigh Edwards, MD
• J Roye Ely, N.P.
• Eyemart Express LLC
• Richard Andrew Flygare, P.A.-C.
• Emmalee Anne Gerstenberger, CNP
• Kirandeep K Gill, D.O.
• Jason Hayes Goodwin, LCPC, CDAC

• Optometrist in Coeur D'Alene, ID
• Providers in Coeur D'Alene, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.