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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | BLUE CROSS OF IDAHO GROUP | V9055 | 01 |
ID | 807869000 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770625691 | Total Vision Pa | Optometrist | 2836 Enterprise Rd Ste 3, Debary, FL 32713-5210 | 2007-02-14 |
Street Address |
1702 S KIMBALL AVE |
City | CALDWELL |
State | ID |
Zip Code | 83605-4826 |
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 |
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 |
Find all providers in zip 83605 |
Taxonomy Code | 152WC0802X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Corneal and Contact Management |
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] |
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 |
Find all providers with the same taxonomy |
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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.