Brenda Lynn Offerdahl, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP968 Issued in ID

Practice address

2120 Thain Grade
Lewiston, ID 83501-4105

Phone

(208) 746-1050

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clearview Eye Clinic LTDGroup PAC ID 7416998232, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.15 of 100Reported as group

Quality

94.34

Improvement activities

40

Cost

84.71

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clearview Eye Clinic LTD

  • Ophthalmology Physician
  • Moscow, ID
  • NPI 1407915325

  Optometrist

  Medicare reassignment Care Compare group NPD
• Clearview Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lewiston, ID
  • NPI 1265816003
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1932154341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 THAIN GRADE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014105",
            "telephone_number": "208-746-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 THAIN GRADE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014105",
            "telephone_number": "208-746-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFERDAHL",
        "first_name": "BRENDA",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joni Lee Nuber, B.A., L.S.W.
• NW Natural Healthcare LLC
• Crystal Ann Nystrom, LCPC
• David Nystrom, LCSW
• Obsidain Mental Health, PLLC
• Lawrence C Ohman, PT
• Akinmusuyi Ayodeji Oladiran, PHARMD
• Natalie Louise Olsen, PHARM D.
• Damilola Ewonubari Olupona, DO
• Opportunities Unlimited, Inc.

• Optometrist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.