Organization Active NPI

Adam C. Dayley, O.D., P.C.

Doing business as Looking Glass Eye Clinic

  • Optometrist
  • Kamiah, ID
National Provider Identifier
1942352380
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100032 Issued in ID
Legal business name
ADAM C. DAYLEY, O.D., P.C.
Doing business as
Looking Glass Eye Clinic
Practice address
501 Main St.
Kamiah, ID 83536
Phone
(208) 935-2020
Fax
(208) 935-0434
NPI assigned
Jan 17, 2007
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ADAM C. DAYLEY, O.D., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Dr. Adam C Dayley, ODNPI 1538144928
Title
Optometrist
Phone
(208) 935-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-100032 ID Primary

Addresses

Primary practice location

501 Main St.
Kamiah, ID 83536

Mailing address

PO Box 247
Kamiah, ID 83536-0247
Phone (208) 935-2020

Other identifiers 1

IdentifierTypeStateIssuer
807089100MedicaidID

Other names 1

  • Looking Glass Eye Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081218000763 ID Part B Supplier - Clinic/Group Practice 0446350268 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orofino, ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Adam C Dayley OD PC

Locations

501 Main St
Kamiah, ID 83536
Phone (208) 935-2020

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1942352380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "KAMIAH",
            "state": "ID",
            "postal_code": "835360247",
            "telephone_number": "208-935-2020",
            "fax_number": "208-935-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN ST.",
            "city": "KAMIAH",
            "state": "ID",
            "postal_code": "83536",
            "telephone_number": "208-935-2020",
            "fax_number": "208-935-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM C. DAYLEY, O.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAM C. DAYLEY, O.D., P.C.",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "DAYLEY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "208-935-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807089100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Looking Glass Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kamiah, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.