MR. JAMES RUSSELL BEWLEY (NPI# 1639257017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639257017 |
| Entity Type | Individual |
| Full Name | MR. JAMES RUSSELL BEWLEY |
| Credential | OD |
| Practice Address |
420 E Elm Street Caldwell ID 83605-4846 |
| Practice Telephone | 2084592020 |
| Practice Fax Number | 2084592034 |
| Mailing Telephone | 2084592020 |
| Mailing Fax Number | 2084592034 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODP 100085 | ID | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807263100 | 05 |
| Street Address |
420 E ELM STREET |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4846 |
| 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 | 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 |
|---|---|---|---|---|
| 1700440948 | Mobilitycares LLC | Optometrist | 14340 Salmon River Rd, Caldwell, ID 83607-7813 | 2019-04-23 |
| 1952831695 | Joel Agado Hernandez | Optometrist | 1906 Fairview Ave Ste 100, Caldwell, ID 83605-5433 | 2017-06-15 |
| 1285784397 | Elza Leroy Kutch | Optometrist | 3431 County Rd 330, Caldwell, TX 77836 | 2007-01-11 |
| 1063591162 | William Thomas Black | Optometrist | 420 E Elm St, Caldwell, ID 83605-4846 | 2006-11-02 |
| 1043390867 | James William Mershon | Optometrist | 402 Cumberland St, Caldwell Vision Centre, Caldwell, OH 43724-1234 | 2006-10-16 |
| 1124121058 | Kevin Charles Cotter | Optometrist | 5108 E Cleveland Blvd, Caldwell, ID 83605-8002 | 2006-09-06 |
| 1366494486 | Joseph Andrew Schkolnick | Optometrist | 384 Bloomfield Ave, Caldwell, NJ 07006-4905 | 2006-05-17 |
| 1578515920 | Robert Stanley Rudge | Optometrist | 602 West St, Caldwell, OH 43724-0280 | 2006-05-16 |
| 1124082169 | Christopher Mark Card | Optometrist | 1702 S Kimball Ave, Caldwell, ID 83605-4826 | 2006-04-14 |
| 1326662578 | Jeffrey Walter Ness | Optometrist | 1906 Fairview Ave Ste 100, Caldwell, ID 83605-5433 | 2020-06-03 |
| Find all providers in CALDWELL | ||||
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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.