Emerald Optics LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100277 Issued in ID

Legal business name

EMERALD OPTICS LLC

Doing business as

Pearle Vision

Practice address

7447 W Emerald St Ste 105
Boise, ID 83704-5003

Phone

(208) 322-1642

Fax

(208) 378-4179

NPI assigned

Mar 27, 2018

Last updated

Mar 27, 2018By 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

Paul Bingham, ODNPI 1063852119

Title

Ceo/Optometrist

Phone

(208) 280-9762

Specialties & licenses 2

Addresses

Other names 1

• Pearle Vision Doing business as

Practitioners 1

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.

• Paul Linford Bingham, O.D.

  • Optometrist
  • Boise, ID
  • NPI 1063852119
  Authorized official Same address or phone

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1891290235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W EMERALD ST STE 105",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045003",
            "telephone_number": "208-322-1642",
            "fax_number": "208-378-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W EMERALD ST STE 105",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045003",
            "telephone_number": "208-322-1642",
            "fax_number": "208-378-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD OPTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO/OPTOMETRIST",
        "authorized_official_telephone_number": "208-280-9762",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100277",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emerald Smiles Dentistry, PC (Emerald Smiles Dentistry)
• Emerald Surgical Center LLC
• Emerald West Family Dentistry
• Emergency Responders Health Center, LLC
• Emeritus Corporation (Brookdale Castle Hill)

• 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 Mar 27, 2018; 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.