Individual provider Active NPI

Susan L. Farmer, O.D.

  • Optometrist
  • Caldwell, ID
National Provider Identifier
1881740769
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
868 Issued in ID
Practice address
1906 Fairview Ave Ste 100
Caldwell, ID 83605-5433
Phone
(208) 459-2020
Fax
(208) 459-2034
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00003018 WA
Optometrist 152W00000X 868 ID Primary

Addresses

Primary practice location

1906 Fairview Ave Ste 100
Caldwell, ID 83605-5433

Mailing address

1906 Fairview Ave Ste 100
Caldwell, ID 83605-5433
Phone (208) 459-2020

Other practice location 1

2010 W Lincoln Ave
Sutie 1
Yakima, WA 98902-2413
Phone (509) 965-5200

Other identifiers 1

IdentifierTypeStateIssuer
2016517MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040720000128 WA Practitioner - Optometry 4082693296 Reassigns benefits to 1 organization
I20240612004444 ID Practitioner - Optometry 4082693296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eyecare Specialists PLLCGroup PAC ID 0749350650, 8 clinicians

Practice addresses (Care Compare)

420 E Elm St
Caldwell, ID 83605-4846
Phone (208) 459-3366

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
868IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Vision Center, PC CurrentSince May 4, 2008 Accepting new patients
Family Eyecare Specialists PLLC Optometrist CurrentSince May 31, 2024 Accepting new patients
Insight Optical Optometrist PastSince May 31, 2024 Accepting new patients

Locations

1906 Fairview Ave
Ste 100
Caldwell, ID 83605
Phone (208) 377-3937

420 E Elm St
Caldwell, ID 83605
Phone (208) 459-2020

1906 Fairview Ave
Caldwell, ID 83605
Phone (208) 385-3680

2010 W Lincoln Ave
#1
Yakima, WA 98902
Phone (509) 965-5200

2010 W Lincoln Ave
Yakima, WA 98902
Phone (509) 248-8315

Interoperability endpoints

  • FHIR API: https://familyeyes.ef.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1881740769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 FAIRVIEW AVE STE 100",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055433",
            "telephone_number": "208-459-2020",
            "fax_number": "208-459-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 FAIRVIEW AVE STE 100",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055433",
            "telephone_number": "208-459-2020",
            "fax_number": "208-459-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 W Lincoln Ave",
            "address_2": "Sutie 1",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989022413",
            "country_code": "US",
            "telephone_number": "509-965-5200",
            "fax_number": "509-452-7563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARMER",
        "first_name": "SUSAN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003018",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016517",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.