Rexburg Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

REXBURG VISION CENTER

Practice address

49 E 1St S
Rexburg, ID 83440-1966

Phone

(208) 356-4444

Fax

(208) 356-4445

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Darren Hatch, ODNPI 1487681292

Title

Partner

Phone

(208) 356-4444

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• Darren Hatch, OD

  • Optometrist
  • Rexburg, ID
  • NPI 1487681292
  Medicare reassignment Care Compare group NPD Authorized official
• Damon Scott Mortensen, OD

  • Optometrist
  • Rexburg, ID
  • NPI 1760619365
  Medicare reassignment Care Compare group NPD
• Nathan Cody Mortensen, OD

  • Optometrist
  • Rexburg, ID
  • NPI 1194253682
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1801830666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 E 1ST S",
            "address_2": "PO BOX 577",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401966",
            "telephone_number": "208-356-4444",
            "fax_number": "208-356-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 E 1ST S",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401966",
            "telephone_number": "208-356-4444",
            "fax_number": "208-356-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REXBURG VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "208-356-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "ID",
            "license": "ODP-100403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehab & Industrial Services, LLP
• Rexburg Chiropractic Center
• Rexburg Family Medical Center, PLLC
• Rexburg Medical Center
• Rexburg Surgery Center LLC
• Chelse Reynolds
• Heather Linn Rich, M.A. CCC-SLP
• Emily Richards
• Bethany Ricks
• Marquee Gale Ricks, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.