Summit Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SUMMIT EYECARE PLLC

Practice address

3351 Merlin Dr
Idaho Falls, ID 83404-7405

Phone

(208) 522-5594

Fax

(208) 552-2240

NPI assigned

Aug 20, 2013

Organization subpart

No

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

Authorized official

Name

Todd F Birch, O.D.NPI 1952477242

Title

Manager

Phone

(208) 522-5594

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd F Birch, O.D.

  • Optometrist
  • Idaho Falls, ID
  • NPI 1952477242
  Medicare reassignment Care Compare group Authorized official
• Joshua G Davis, O.D.

  • Optometrist
  • Ammon, ID
  • NPI 1548408891
  Medicare reassignment Care Compare group NPD
• Cory Zwahlen

  • Optometrist
  • Pocatello, ID
  • NPI 1275375370
  Medicare reassignment Care Compare group NPD
• Toni Lynn Watt, O.D.

  • Optometrist
  • Albert Lea, MN
  • NPI 1629398516

  ID

  Medicare reassignment Care Compare group NPD
• Jared Edgar Birch, O.D.

  • Optometrist
  • Idaho Falls, ID
  • NPI 1881764678
  Medicare reassignment Care Compare group
• Jay Leslie Borgholthaus, OD

  • Optometrist
  • Pocatello, ID
  • NPI 1952353716
  Medicare reassignment Care Compare group
• Craig Alan Fleming, O.D.

  • Optometrist
  • Idaho Falls, ID
  • NPI 1770896987
  Medicare reassignment Care Compare group
• Neal Boyd Guymon, O.D.

  • Optometrist
  • Idaho Falls, ID
  • NPI 1184999625
  Medicare reassignment Care Compare group
• Douglas James Hilborn, OD

  • Optometrist
  • Idaho Falls, ID
  • NPI 1831182682
  NPD (past)

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1992138432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 MERLIN DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047405",
            "telephone_number": "208-522-5594",
            "fax_number": "208-552-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 MERLIN DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047405",
            "telephone_number": "208-522-5594",
            "fax_number": "208-552-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-522-5594",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca T Sulik
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• Jessie Elaine Sullivan, LCPC,LMFT
• Joshua Summers, DO
• Patti Joleen Summers, LPC
• Summit Health Professionals
• Summit Orthopaedics Management and Consulting, LLC
• Summit Orthopaedics Management and Consulting, LLC
• Summus Counseling, LLC
• Sunnyside Dental Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.