LAWRENCE D ANDERSON MD ESTATE (NPI# 1326550096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326550096 |
| Entity Type | Organization |
| Organization Name | LAWRENCE D ANDERSON MD ESTATE |
| Other Organization Name | MAPLE GROVE EYE CLINIC |
| Practice Address |
8955 W Hackamore Dr Boise ID 83709 |
| Practice Telephone | 2083447944 |
| Practice Fax Number | 2083434676 |
| Mailing Telephone | 2083447944 |
| Mailing Fax Number | 2083434676 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | MR. NATHAN B ANDERSON (PERSONAL REPRESENTATIVE) |
| Authorized Official Telephone | 2083447944 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1326302548 | 05 | |
| ID | 1942316054 | 05 |
| Other Name | Type Code |
|---|---|
| Maple Grove Eye Clinic | Doing Business As Name - Organization |
| Street Address |
8955 W HACKAMORE DR |
| City | BOISE |
| State | ID |
| Zip Code | 83709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790330637 | Vision Quest Medical Center, Pa | Ophthalmology | 8955 W Hackamore Dr, Boise, ID 83709-1673 | 2019-08-07 |
| 1124684485 | Maple Grove Eyecare PC | Ophthalmology | 8955 W Hackamore Dr, Boise, ID 83709 | 2019-05-13 |
| 1922039114 | Lawrence D Anderson | Ophthalmology | 8955 W Hackamore Dr, Boise, ID 83709-1673 | 2006-07-05 |
| 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 |
| 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 |
| 1043689474 | Macaile Hutt | Occupational Therapist | 1172 W Franklin Rd, Boise, ID 83709 | 2015-09-16 |
| Find all providers in zip 83709 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295050110 | Ali Torab Parhiz | Ophthalmology | 901 N Curtis Rd Ste 302, Boise, ID 83706-1341 | 2010-04-03 |
| 1720248305 | James Benjamin Earl | Ophthalmology | 13923 W. Wainwright Dr Ste 301, Boise, ID 83713 | 2008-06-17 |
| 1891868006 | Gregory J Kent | Ophthalmology | 901 N Curtis Rd Suite 302, Boise, ID 83706 | 2006-11-16 |
| 1386739928 | Mark D Borup | Ophthalmology | 999 N. Curtis Road, Suite 205, Boise, ID 83706 | 2006-10-03 |
| 1578657094 | Kathryn M Fethke | Ophthalmology | 999 N. Curtis, Suite 205, Boise, ID 83706 | 2006-10-02 |
| 1386738839 | Katherine A Lee | Ophthalmology | 100 E. Idaho St, Suite 311, Boise, ID 83712 | 2006-10-02 |
| 1912091455 | Molly J Mannschreck | Ophthalmology | 999 N. Curtis Rd, Suite 205, Boise, ID 83706 | 2006-10-02 |
| 1679582282 | Justin Rodney Johnsen | Ophthalmology | 909 S Allante Pl, Boise, ID 83709 | 2006-08-05 |
| 1891731014 | Francois D Trotta | Ophthalmology | 128 E Mallard Dr, Boise, ID 83706-3975 | 2006-06-22 |
| 1417916586 | Adam C Reynolds | Ophthalmology | 999 N Curtis Rd Ste 205, Boise, ID 83706-1316 | 2006-03-18 |
| Find all providers in BOISE | ||||
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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.