Emmett Eye Center, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP 100-152 Issued in ID

Legal business name

EMMETT EYE CENTER, PLLC

Doing business as

Emmett Vision Center

Practice address

1108 S Washington Ave
Emmett, ID 83617-3535

Phone

(208) 365-2020

Fax

(208) 365-3854

NPI assigned

Jan 30, 2012

Last updated

Mar 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Trenton Warner, O.D.NPI 1184823049

Title

Owner/President

Phone

(208) 365-2020

Specialties & licenses 1

Addresses

Other names 1

• Emmett Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trenton G. Warner, O.D.

  • Optometrist
  • Emmett, ID
  • NPI 1184823049
  Medicare reassignment Care Compare group NPD Authorized official
• Lee James Carter, O.D.

  • Optometrist
  • Mountain Home, ID
  • NPI 1891789368
  Medicare reassignment Care Compare group NPD
• Timothy Scott Gibbons, O.D.

  • Optometrist
  • Nampa, ID
  • NPI 1134416787
  Medicare reassignment NPD
• Jason L Howard, O.D.

  • Optometrist
  • Emmett, ID
  • NPI 1720436744
  Medicare reassignment NPD
• Jason Petersen, O.D.

  • Optometrist
  • Sandpoint, ID
  • NPI 1407235948
  Medicare reassignment NPD
• Kendon Delbert Seamons, OD

  • Optometrist
  • Emmett, ID
  • NPI 1164915534
  Medicare reassignment NPD
• Shawn C. Sorenson, O.D.

  • Optometrist
  • Eagle, ID
  • NPI 1518922368
  NPD (past)
• Aaron J. Warner, O.D.

  • Optometrist
  • Eagle, ID
  • NPI 1750346524
  NPD (past)

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1811269350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 S WASHINGTON AVE",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173535",
            "telephone_number": "208-365-2020",
            "fax_number": "208-365-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 S WASHINGTON AVE",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173535",
            "telephone_number": "208-365-2020",
            "fax_number": "208-365-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMETT EYE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "TRENTON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-365-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP 100-152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emmett Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.