Individual provider Active NPI

Scott W. Homer, O.D.

  • Optometrist
  • Idaho Falls, ID
National Provider Identifier
1760433684
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP727 Issued in ID
Practice address
800 E 17TH St
Idaho Falls, ID 83404-6151
Phone
(208) 522-0159
Fax
(208) 522-3066
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP727 ID Primary
Optometrist 152W00000X OD00001953 WA

Addresses

Primary practice location

800 E 17TH St
Idaho Falls, ID 83404-6151

Mailing address

800 E 17TH St
Idaho Falls, ID 83404-6151
Phone (208) 522-0159

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050606000938 ID Practitioner - Optometry 8729021225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amplify Optometry of America PLLCGroup PAC ID 3072050186, 3 clinicians

Practice addresses (Care Compare)

2550 S 25TH
Idaho Falls, ID 83404-6507
Phone (208) 552-7323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD00001953WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Eye Centers Inc. Optometrist CurrentSince Mar 23, 2019 Accepting new patients
Amplify Optometry of America PLLC Optometrist CurrentSince Jul 12, 2024 Accepting new patients
Amplify Optometry of America PLLC Optometrist CurrentSince Jul 12, 2024 Accepting new patients

Locations

2550 S 25th E
Idaho Falls, ID 83404
Phone (208) 552-7323

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760433684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046151",
            "telephone_number": "208-522-0159",
            "fax_number": "208-522-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046151",
            "telephone_number": "208-522-0159",
            "fax_number": "208-522-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMER",
        "first_name": "SCOTT",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP727",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.