Steven Don Clements, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP669 Issued in ID

Practice address

421 N Cole Rd # 102
Boise, ID 83704-9114

Phone

(208) 685-0416

Fax

(208) 685-0418

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Wendell R Fackrell PLLC

  • Optometrist
  • Chubbuck, ID
  • NPI 1801171293
  NPD
• Visionworks, Inc

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1801848544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N COLE RD # 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049114",
            "telephone_number": "208-685-0416",
            "fax_number": "208-685-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N COLE RD # 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049114",
            "telephone_number": "208-685-0416",
            "fax_number": "208-685-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "STEVEN",
        "middle_name": "DON",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000308300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clearview Family Eyecare PLLC
• Clearwater Psychiatry PLLC
• Johnnie R Clemans, D.C.
• Erica Lysette Clemens
• Emily Alings Clements, LPC
• Timothy Cleveland
• Kristin Cleverdon, PHARMD
• Chad William Cleverly, O.D.
• Kathleen Clifford, NP
• Kevin A Clifford, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.