TOTAL VISION PA


Address: 1702 S Kimball Ave, Caldwell, ID 83605-4826
Phone: 2084592641

TOTAL VISION PA (NPI# 1447328463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447328463
Entity Type Organization
Organization Name TOTAL VISION PA
Practice Address 1702 S Kimball Ave
Caldwell
ID 83605-4826
Practice Telephone 2084592641
Practice Fax Number 2084592895
Mailing Telephone 2084592641
Mailing Fax Number 2084592895
Enumeration Date 2006-11-30
Last Update Date 2010-06-28
Authorized Official Name MS. SHEREE C SHANNON (ADMINISTRATIVE ASSISTANT)
Authorized Official Telephone 2084592641
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist ODP100163 ID Eye and Vision Services Providers
N 152WC0802X Optometrist
Specialization: Corneal and Contact Management
ODP100163 ID Eye and Vision Services Providers
N 152WP0200X Optometrist
Specialization: Pediatrics
ODP100163 ID Eye and Vision Services Providers
N 152WL0500X Optometrist
Specialization: Low Vision Rehabilitation
ODP100163 ID Eye and Vision Services Providers
N 152WX0102X Optometrist
Specialization: Occupational Vision
ODP100163 ID Eye and Vision Services Providers
N 152WS0006X Optometrist
Specialization: Sports Vision
ODP100163 ID Eye and Vision Services Providers
N 152W00000X Optometrist ODP-579 ID Eye and Vision Services Providers
N 152WP0200X Optometrist
Specialization: Pediatrics
ODP-579 ID Eye and Vision Services Providers
Y 152WC0802X Optometrist
Specialization: Corneal and Contact Management
ODP-579 ID Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID BLUE CROSS OF IDAHO GROUP V9055 01
ID 807869000 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770625691 Total Vision Pa Optometrist 2836 Enterprise Rd Ste 3, Debary, FL 32713-5210 2007-02-14

Office Location

Street Address 1702 S KIMBALL AVE
City CALDWELL
State ID
Zip Code 83605-4826

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124082169 Christopher Mark Card Optometrist 1702 S Kimball Ave, Caldwell, ID 83605-4826 2006-04-14
1831486687 Brittany Highsmith Mulrony Optometrist 1702 S Kimball Ave, Caldwell, ID 83605-4826 2011-06-30
1972819365 Micah S Mills Od Pa Optometrist 1702 S Kimball Ave, Caldwell, ID 83605-4826 2010-08-24
1548468580 Micah Sean Mills Optometrist 1702 S Kimball Ave, Caldwell, ID 83605-4826 2007-07-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518585660 Laurie Bernstein Occupational Therapist 2205 Sunset Avenue, Caldwell, ID 83605 2020-07-06
1881249316 Elevate Academy Local Education Agency (LEA) 114 W. Chicago St., Caldwell, ID 83605 2019-08-01
1669025359 James Smith Pharmacist 2809 E Caldwell Blvd, Caldwell, ID 83605 2019-07-22
1164910824 Michelle Stoddard Physician Assistant 315 E Elm St Ste 200, Caldwell, ID 83605 2018-04-27
1215430483 Amy E Rudolf Pharmacist 315 E Elm St Ste 150, Caldwell, ID 83605 2018-03-14
1871044883 Kool Ridez LLC Case Management 1803 Ellis Ave., Caldwell, ID 83605 2016-10-14
1932550795 Chris Torgerson Social Worker 3402 Franklin Blvd, Caldwell, ID 83605 2016-06-23
1609237742 Peggy A Mcfarland Counselor 534 Cleveland Suite 230, Caldwell, ID 83605 2016-03-17
1720468101 Devin Douglas Dredge Emergency Medicine 1717 Arlington Ave Dept Of, Caldwell, ID 83605 2015-06-01
1578950168 Trinidad Bridge Licensed Practical Nurse 2909 S. 10th Avenue, Caldwell, ID 83605 2015-04-21
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Taxonomy Information

Taxonomy Code 152WC0802X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Corneal and Contact Management

Taxonomy Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Notes: Source: American Optometric Association [1/1/2009: added definition, added source]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700163839 Nicholas J Kelsey Optometrist 503 Broadway Ave S, Suite A, Buhl, ID 83316-1312 2011-11-03
1619185485 Ada County Eyecare, P.C. Optometrist 2069 E Feldspar Ct, Boise, ID 83712-8456 2007-05-18
1285759753 Brent Anthony Galvan Optometrist 8102 W Northview St, Boise, ID 83704-4406 2007-03-20
1194823930 Deborah Ann Amato Optometrist 8641 W Franklin, Boise, ID 83709 2006-09-20
1821082470 Lance F Ough Optometrist 350 N Milwaukee St, #2153, Boise, ID 83704-9123 2005-09-08
1174524722 Kenneth William King Jr. Optometrist 1480 E Lincoln Rd, Idaho Falls, ID 83401-2128 2005-08-04
1447540802 Cole Family Eye Center, Pa Optometrist 8102 W Northview St, Boise, ID 83704 2011-04-19
1033302161 Rob Dee Christensen Optometrist 1410 Broadway Ave, Boise, ID 83706-3706 2007-08-22
1427256288 Scott Burns Taylor Optometrist 1301 Main St, Suite 10, Salmon, ID 83467-4453 2007-07-03
1538388624 Sparhawk Vision, Chtd Optometrist 2025 12th Ave Rd, Suite 100, Nampa, ID 83686-6459 2007-04-25
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Competitor

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City CALDWELL
Zip Code 83605

Improve Information

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Dataset Information

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.

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