Active NPI
Larry V. Downer, O.D.
- Optometrist
- Emmett, ID
National Provider Identifier
1891798773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP456
- Practice address
- 1016 E Locust St
Emmett, ID 83617-2776 - Phone
- (208) 365-3584
- Fax
- (208) 365-2471
- NPI assigned
- May 24, 2005
- Last updated
- Jan 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODP456 | ID | Primary |
Addresses
Primary practice location
1016 E Locust St
Emmett, ID 83617-2776
Mailing address
1016 E Locust St
Emmett, ID 83617-2776
Phone (208) 365-3584
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010015206 | Other | ID | REGENCE BLUE SHIELD |
| V024 5 | Other | ID | BLUE CROSS |
| 34870 | Other | ID | DAVIS VISION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODP456 | ID | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1891798773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 E LOCUST ST",
"city": "EMMETT",
"state": "ID",
"postal_code": "836172776",
"telephone_number": "208-365-3584",
"fax_number": "208-365-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 E LOCUST ST",
"city": "EMMETT",
"state": "ID",
"postal_code": "836172776",
"telephone_number": "208-365-3584",
"fax_number": "208-365-2471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWNER",
"first_name": "LARRY",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "000010015206",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "V024 5",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "34870",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Emmett, ID
- Edward Davis, MS
- Wendi Marie Densley, LPC, NCC
- Krystal Diaz, BS/CPSS
- Dove Hearing Center LLC (Dove Hearing Center)
- Dustin Lee Dove, BC-HIS
- Edward Davis Counseling, LLC (My Better Agency)
- Candice Eli, MSW, LICSW
- Elkins Dentistry, PLLC
- Clark Richard Elkins, DMD
- Emmett Counseling and Psychiatric Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.