Individual provider Active NPI

Lance F Ough, O.D.

  • Corneal and Contact Management Optometrist
  • Boise, ID
National Provider Identifier
1821082470
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
ODP 100038 Issued in ID
Practice address
350 N Milwaukee St
#2153
Boise, ID 83704-9123
Phone
(208) 322-1642
Fax
(208) 378-4179
NPI assigned
Sep 8, 2005
Last updated
Jul 13, 2026By the provider in NPPES
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X ODP 100038 ID Primary

Addresses

Primary practice location

350 N Milwaukee St
#2153
Boise, ID 83704-9123

Mailing address

20 Quail LN
Boise, ID 83716-3114
Phone (208) 343-0046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20171030001219 NH Practitioner - Optometry 1254511785 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speare Memorial HospitalGroup PAC ID 1153318068, shared by 12 NPIs, 49 clinicians

Practice addresses (Care Compare)

103 Boulder Point Dr
Plymouth, NH 03264-3168

103 Boulder Point Dr
Plymouth, NH 03264-3183
Phone 6035361120218

16 Hospital Rd
Plymouth, NH 03264-1126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0961NHMDAddiction (Substance Use Disorder) Counselor
ODP 100038IDMDCorneal and Contact Management Optometrist
4241MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Speare Memorial Hospital CurrentSince Oct 9, 2017 Accepting new patients
Speare Memorial Hospital Current Accepting new patients
Speare Memorial Hospital CurrentSince Oct 9, 2017 Accepting new patients
Speare Memorial Hospital CurrentSince Oct 12, 2025 Accepting new patients
Speare Memorial Hospital CurrentSince Jun 25, 2025 Accepting new patients

Locations

103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284

16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821082470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 QUAIL LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837163114",
            "telephone_number": "208-343-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N MILWAUKEE ST",
            "address_2": "#2153",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049123",
            "telephone_number": "208-322-1642",
            "fax_number": "208-378-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUGH",
        "first_name": "LANCE",
        "middle_name": "F",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "ID",
            "license": "ODP 100038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.