Idaho Eye Pros of Nampa

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

IDAHO EYE PROS OF NAMPA

Practice address

16449 Midland Blvd
Nampa, ID 83687-5222

Phone

(208) 467-7020

Fax

(208) 467-7022

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

Lavar W Kofoed, OD

Title

Ownwe

Phone

(208) 378-7020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1871912147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16449 MIDLAND BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875222",
            "telephone_number": "208-467-7020",
            "fax_number": "208-467-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16449 MIDLAND BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875222",
            "telephone_number": "208-467-7020",
            "fax_number": "208-467-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO EYE PROS OF NAMPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "KOFOED",
        "authorized_official_first_name": "LAVAR",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNWE",
        "authorized_official_telephone_number": "208-378-7020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Department of Health & Welfare (State Hospital West)
• Idaho Department of Health and Welfare Esc Region III
• Idaho Dept of Health & Welfare Itp Region 3
• Idaho Em-I Medical Services PC
• Idaho Endoscopy Center LLC (Nampa Idaho Endoscopy Center)
• Idaho Family Physical Therapy PLLC (Idaho Family PT)
• Idaho Medical Products
• Idaho Medical Products
• Idaho Mental Wellness & Addiction Recovery PLLC
• Idaho Pediatric Dentistry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.