Active NPI
Taylor Trent Webster, OD
- Optometrist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP-100538
- Practice address
- 291 N Milwaukee St Ste a-3
Boise, ID 83704-9132 - Phone
- (833) 776-2020
- Fax
- (208) 297-7518
- NPI assigned
- Jun 23, 2021
- Last updated
- Jun 23, 2021
- Sex
- Male
- Sole proprietor
- No
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 | ODP-100538 | ID | Primary |
Addresses
Primary practice location
291 N Milwaukee St Ste a-3
Boise, ID 83704-9132
Mailing address
3485 N Cole Rd Unit 45479
Boise, ID 83711-1095
Phone (833) 776-2020
Other practice location 1
16448 N Midland Blvd
Nampa, ID 83687-5222
Phone (833) 776-2020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | office@theeyepros.com |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Midwestern University College of Dental Medicine, Glendale, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2620 S Eagle Rd
Meridian, ID 83642-6704
Phone (208) 342-5151
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.16 of 100
- Quality
- 94
- Improvement activities
- 40
- Cost
- 75.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODP-100538 | ID | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Pros Treasure Valley | Optometrist | Current | Accepting new patients |
| The Eye Associates, P.a. | Optometrist | Current | Accepting new patients |
| LWK, P.C. | Optometrist | Current | Accepting new patients |
Locations
291 N Milwaukee St
Ste A3
Boise, ID 83704
Phone (208) 297-7019
3485 N Cole Rd
Unit 45479
Boise, ID 83711
1602 Arlington Ave
Caldwell, ID 83605
Phone (208) 459-0717
2620 S Eagle Rd
Meridian, ID 83642
Phone (208) 342-5151
6252 N Linder Rd
Ste 150
Meridian, ID 83646
Phone (208) 297-7019
16448 N Midland Blvd
Nampa, ID 83687
Phone (208) 467-7020
Interoperability endpoints
- office@theeyepros.com
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1962071845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3485 N COLE RD UNIT 45479",
"city": "BOISE",
"state": "ID",
"postal_code": "837111095",
"telephone_number": "833-776-2020",
"fax_number": "208-297-7518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 N MILWAUKEE ST STE A-3",
"city": "BOISE",
"state": "ID",
"postal_code": "837049132",
"telephone_number": "833-776-2020",
"fax_number": "208-297-7518"
}
],
"practiceLocations": [
{
"address_1": "16448 N Midland Blvd",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836875222",
"country_code": "US",
"telephone_number": "833-776-2020",
"fax_number": "208-297-7518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBSTER",
"first_name": "TAYLOR",
"middle_name": "TRENT",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP-100538",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "office@theeyepros.com",
"affiliation": "N",
"address_1": "291 N Milwaukee St Ste A-3",
"city": "Boise",
"state": "ID",
"country_code": "US",
"postal_code": "837049132",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.