Organization Active NPI

American Falls Vision Ctr

  • Optometrist
  • American Falls, ID
National Provider Identifier
1891780458
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Jan 28, 2008

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
002517300MedicaidID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.