DALLAS STEVENS (NPI# 1174775332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174775332 |
Entity Type | Individual |
Full Name | DALLAS STEVENS |
Practice Address |
1232 Pleasantview Rexburg ID 83440-5316 |
Mailing Address |
4255 W Sugarberry Ct Eagle ID 83616-7266 |
Practice Telephone | 2087097314 |
Mailing Telephone | 2087097314 |
Enumeration Date | 2008-10-21 |
Last Update Date | 2020-05-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | ODP-100186 | ID | Eye and Vision Services Providers |
Street Address |
1232 PLEASANTVIEW |
City | REXBURG |
State | ID |
Zip Code | 83440-5316 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
1952956906 | Shane Ellis Withers | Pharmacist | 164 E. Main, Rexburg, ID 83440 | 2019-08-06 |
1316392285 | Emma Anderson | Speech-Language Pathologist | 36 Professional Plaza Suite 110, Rexburg, ID 83440 | 2016-04-28 |
1851755524 | Sandra Frickey | Speech-Language Pathologist | 1087 Summers Drive, Premier Therapy Associates, Rexburg, ID 83440 | 2016-04-08 |
1275997215 | Kerry Denney | Counselor | 333 Walker Drive, Rexburg, ID 83440 | 2016-04-06 |
1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
1649692609 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 410 W 1st N, Rexburg, ID 83440 | 2014-01-10 |
1043652571 | Creed Simon Webster | Counselor | 30 S 2nd W, Rexburg, ID 83440 | 2013-07-25 |
1033461660 | James Cannon Allen Dds PC | Dentist | 106 E 1st North, Rexburg, ID 83440 | 2012-10-05 |
1417217316 | Shelby Dee Woolstenhulme | Speech-Language Pathologist | 450 E. Main Street, Rexburg, ID 83440 | 2012-05-24 |
Find all providers in zip 83440 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720463201 | Jason Christman | Optometrist | 530 Terra Vista Dr, Rexburg, ID 83440-2533 | 2015-07-24 |
1245537885 | Merrell Eyecare Center Inc | Optometrist | 345 N 2nd E Ste 1, Rexburg, ID 83440-1603 | 2011-02-17 |
1467646265 | Eagle Vision Center PC | Optometrist | 74 E 1st S, Rexburg, ID 83440-1936 | 2007-09-05 |
1144260969 | Bryce Byram Thueson | Optometrist | 76 Professional Plz, Rexburg, ID 83440-2047 | 2006-06-08 |
1275591711 | Wade Roger Demordaunt | Optometrist | 1450 N 2nd E, Rexburg, ID 83440-5131 | 2006-05-03 |
1861922601 | Jason Porter Merrell | Optometrist | 345 N 2nd E Ste 1, Rexburg, ID 83440-1603 | 2017-06-14 |
1194253682 | Nathan Cody Mortensen | Optometrist | 49 E 1st S, Rexburg, ID 83440-1966 | 2017-05-26 |
1093168767 | Kreed Bowman | Optometrist | 76 Professional Plz, Rexburg, ID 83440-2047 | 2016-07-18 |
1457716482 | Bryce B. Thueson, O.d., Pllc | Optometrist | 76 Professional Plz, Rexburg, ID 83440-2047 | 2015-12-17 |
1588039127 | Diamond Peak Idaho | Optometrist | 1450 N 2nd E, Rexburg, ID 83440-5131 | 2015-12-08 |
Find all providers in REXBURG |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.