Lauren Marie Huber, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-1000250 Issued in ID

Practice address

27 N Fisher Park Way
Suite 101
Eagle, ID 83616-4796

Phone

(208) 514-1858

NPI assigned

Jun 20, 2012

Last updated

Jul 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Lauren Marie Casavant Former name

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

New England College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ryan D. Huber, O.D., P.a.Group PAC ID 1254640956, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ryan D. Huber, O.D., P.a.

  dba Six One Six Vision Center

  • Optometrist
  • Eagle, ID
  • NPI 1215317524
  Medicare reassignment Care Compare group NPD
• Ada Vision Center P.a.

  • Optometrist
  • Boise, ID
  • NPI 1407869589
  Medicare reassignment NPD

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1942563424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 W TANGO CREEK DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465996",
            "telephone_number": "207-233-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 N FISHER PARK WAY",
            "address_2": "SUITE 101",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164796",
            "telephone_number": "208-514-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-1000250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "20001413",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "CASAVANT",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lucas Jay Hooker, MS
• Heidi Hopkins, ATC
• Lynda L Hopkins, LMT, ESTHETICIAN,LPN
• Mary Celeste Howard, M.S.
• Karen Angela Howell, P.T.
• Ryan Douglas Huber, O.D.
• Brian Werner Huck, MSW, LCSW
• Huckleberry Home Health, LLC
• Huckleberry Hospice, LLC
• Heidi Alisha Huffman, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.