Active NPI
American Falls Vision Ctr
- Optometrist
- American Falls, ID
National Provider Identifier
1891780458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- AMERICAN FALLS VISION CTR
- Practice address
- 475 Hillcrest Ave
American Falls, ID 83211-1323 - Phone
- (208) 226-2333
- Fax
- (208) 226-2785
- NPI assigned
- Sep 20, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie Thomas, OD
- Title
- Partner
- Phone
- (208) 226-2333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
475 Hillcrest Ave
American Falls, ID 83211-1323
Mailing address
475 Hillcrest Ave
American Falls, ID 83211-1323
Phone (208) 226-2333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002517300 | Medicaid | ID |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- American Falls, ID
- NPI 1740488782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201478400000",
"number": "1891780458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 HILLCREST AVE",
"city": "AMERICAN FALLS",
"state": "ID",
"postal_code": "832111323",
"telephone_number": "208-226-2333",
"fax_number": "208-226-2785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 HILLCREST AVE",
"city": "AMERICAN FALLS",
"state": "ID",
"postal_code": "832111323",
"telephone_number": "208-226-2333",
"fax_number": "208-226-2785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN FALLS VISION CTR",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-20",
"last_updated": "2008-01-28",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "208-226-2333",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002517300",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in American Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.