RG Vision Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RG VISION EYECARE LLC

Doing business as

Treasure Valley Vision Center

Practice address

129 W Galvani Dr Ste 100
Meridian, ID 83642-8008

Phone

(208) 871-2936

Fax

(208) 231-8595

NPI assigned

Dec 9, 2024

Last updated

Mar 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Russell Lamar Gray, ODNPI 1023678778

Title

Owner

Phone

(208) 871-2936

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Treasure Valley Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

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.

• Russell Lamar Gray, OD

  • Optometrist
  • Meridian, ID
  • NPI 1023678778
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1952117434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W GALVANI DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428008",
            "telephone_number": "208-254-2183",
            "fax_number": "208-281-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W GALVANI DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428008",
            "telephone_number": "208-871-2936",
            "fax_number": "208-231-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RG VISION EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-871-2936",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE NUMBER",
            "identifier": "ODP-100476",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Treasure Valley Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexander Lawrence Reynolds, D.O.
• Bryanna Mae Reynolds
• Catherine J Reynolds, MD
• Diana Reynolds
• Tricia Rae Reynolds, APRN
• Rhett Yeakley DMD, PLLC (Treasure Valley Family Dentistry)
• Suzanne Ricciardi, FNP-C
• Emma Jerine Rice, FNP-C
• Nathan James Richard, PA
• Bronwyn Richards, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.