DR. SCOTT RYAN LEWIS (NPI# 1255324299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255324299 |
| Entity Type | Individual |
| Full Name | DR. SCOTT RYAN LEWIS |
| Credential | O.D. |
| Practice Address |
2051 S Cole Rd Boise ID 83709-2815 |
| Mailing Address |
13150 W Persimmon Ln Boise ID 83713-1986 |
| Practice Telephone | 2086721200 |
| Practice Fax Number | 2089390522 |
| Mailing Telephone | 2089390510 |
| Mailing Fax Number | 2089390522 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2008-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 5948980-9934 | UT | Eye and Vision Services Providers |
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
ODP 100160 | ID | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164801619 | Scott Lewis | Dentist | 3409 W 12600 S Ste 100, Riverton, UT 84065-7266 | 2015-05-29 |
| 1033433289 | Scott Lewis | Physical Therapist | 701 18th Ave Nw, Suite 200, Austin, MN 55912-1850 | 2010-03-17 |
| 1801085576 | Scott Robert Lewis | Optometrist | 19610 Se 1st St, Camas, WA 98607-7472 | 2007-10-18 |
| 1609905736 | Scott James Lewis | Dentist | 5800 Bayshore Dr., Suite B248, Glendale, WI 53217-4536 | 2007-03-05 |
| 1376640664 | Scott A Lewis | Optometrist | 24400 Jackson Ave, Suite A, Murrieta, CA 92562 | 2006-09-20 |
| 1326143553 | Scott Mitchell Lewis | Psychiatry & Neurology | 1 Veterans Dr # 11b, Minneapolis, MN 55417-2309 | 2006-09-13 |
| 1790793875 | Scott Richard Lewis | Dentist | 300 N 2nd E, Rexburg, ID 83440-1604 | 2006-08-04 |
| 1265479281 | Scott Wayne Lewis | Optometrist | 204 Bradford Ln, Waterloo, IL 62298-3267 | 2006-05-31 |
| 1821569963 | Scott Avery Lewis | Counselor | 1905 Continental Pl, Mount Vernon, WA 98273-5633 | 2018-12-16 |
| 1124516745 | Scott Marshall Lewis | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2018-04-30 |
| Street Address |
2051 S COLE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83709-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093109787 | Costco Wholesale Corporation | Hearing Aid Equipment | 2051 S Cole Rd, Boise, ID 83709-2815 | 2015-03-20 |
| 1063803278 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2051 S Cole Rd, Boise, ID 83709-2815 | 2015-02-10 |
| 1730471319 | Bruce R Stanger | Pharmacist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2011-05-13 |
| 1942591649 | Joni S Waldram | Pharmacist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2011-04-28 |
| 1528359361 | Audra R. Mccoy | Pharmacist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2011-04-27 |
| 1881985836 | Jill Lance | Pharmacist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2011-04-26 |
| 1568640423 | John Randall Pitman | Optometrist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2008-02-03 |
| 1437346483 | Philip David Rainey | Optometrist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2007-10-03 |
| 1023131927 | J. Randall Pitman & Associates, P.C. | Optometrist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2007-04-08 |
| 1417067026 | Costco Wholesale Corporation | Pharmacy | 2051 S Cole Rd, Boise, ID 83709 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114172723 | Sl Vision Pllc | Optometrist | 13150 W Persimmon Ln, Boise, ID 83713-1986 | 2008-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615158 | Bluebird Family Eye Care Pllc | Optometrist | 720 N Meridian St Ste A, Blackfoot, ID 83221-4936 | 2019-12-03 |
| 1952963399 | Idaho Vision Development Center Pllc | Optometrist | 1536 Midway Dr, Ammon, ID 83406-6912 | 2019-07-06 |
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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.