KATHERINE MICHELE BAUGHMAN GLEASON (NPI# 1720227010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720227010 |
| Entity Type | Individual |
| Full Name | KATHERINE MICHELE BAUGHMAN GLEASON |
| Credential | OD, FAAO |
| Practice Address |
2500 W A St Suite 202 Moscow ID 83843-6000 |
| Practice Telephone | 2088824662 |
| Practice Fax Number | 2088836557 |
| Mailing Telephone | 2088824662 |
| Mailing Fax Number | 2088836557 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2013-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODP-100170 | ID | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 100170 | ID | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 808375600 | 05 | |
| ID | 808375601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063965705 | Katherine Gleason | Behavioral Analyst | 2125 Heights Dr Ste 2f, Eau Claire, WI 54701-6146 | 2016-07-29 |
| 1316323512 | Katherine Gleason | Advanced Practice Midwife | 130 S Union St Ste 7, Olean, NY 14760-3676 | 2015-08-11 |
| 1134354582 | Katherine Cote Gleason | Physical Therapist | 138 River Rd Ste 101, Andover, MA 01810 | 2009-05-28 |
| 1366861007 | Katherine Gleason | Occupational Therapist | 87 Briarwood Cir, Worcester, MA 01606-1225 | 2014-04-09 |
| Street Address |
2500 W A ST SUITE 202 |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760492656 | Charles A Jacobson | Orthopaedic Surgery | 2500 W A St, Suite 201, Moscow, ID 83843-5065 | 2006-08-09 |
| 1013359546 | Julia W Cheng | Audiologist | 2500 W A St, Suite 202, Moscow, ID 83843-6000 | 2013-07-25 |
| 1245518000 | Michelle Lynn Gorton | Specialist/Technologist, Other | 2500 W A St, Suite 201, Moscow, ID 83843-6000 | 2011-07-28 |
| 1558503581 | Sheri Danielle Erwin | Nurse Practitioner | 2500 W A St, Moscow, ID 83843-6000 | 2009-04-06 |
| 1598929796 | Shawn Charles Richards | Ophthalmology | 2500 W A St, Suite 202, Moscow, ID 83843-6000 | 2008-07-16 |
| 1144376617 | Charles A Jacobson Md | Orthopaedic Surgery | 2500 W A St, Suite 201, Moscow, ID 83843-6000 | 2007-01-26 |
| 1043379944 | David Bryan Leach | Ophthalmology | 2500 W A St, Suite 202, Moscow, ID 83843-6000 | 2006-12-06 |
| 1407915325 | Clearview Eye Clinic Ltd | Optometrist | 2500 W A St, Suite 202, Moscow, ID 83843-6000 | 2006-12-06 |
| 1407921950 | Monty J Boydston | Specialist/Technologist, Other | 2500 W A St, Suite 201, Moscow, ID 83843-6000 | 2006-11-21 |
| 1740290642 | Steven E Pennington | Orthopaedic Surgery | 2500 W A St, Suite 201, Moscow, ID 83843-5065 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| 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 |
|---|---|---|---|---|
| 1285170696 | Wilson Polito Inc | Optometrist | 1844 W Pullman Rd, Moscow, ID 83843-4014 | 2017-01-09 |
| 1457793507 | Enjoli Oleeta Cooke | Optometrist | 212 Rodeo Dr Ste 410, Moscow, ID 83843 | 2013-07-17 |
| 1124373410 | Stacie Zollman | Optometrist | 872 Troy Rd Ste 130, Moscow, ID 83843-5035 | 2012-07-23 |
| 1598794737 | George A Paris | Optometrist | 1205 E 6th St, Moscow, ID 83843-3705 | 2006-07-01 |
| 1215912472 | Randall Perry Cummings | Optometrist | 1420 S Blaine St Ste 6, Moscow, ID 83843-3973 | 2005-12-09 |
| 1891782215 | Richard Eugene Margerum | Optometrist | 326 N Main St, Moscow, PA 18444-9155 | 2005-09-30 |
| 1841298213 | William R French | Optometrist | 202 E 7th St, Moscow, ID 83843-3002 | 2005-07-11 |
| 1689136178 | Inland Eye Care Pllc | Optometrist | 212 Rodeo Dr Ste 410, Moscow, ID 83843-9794 | 2019-04-03 |
| 1154673499 | Nevada Rae Sweeney | Optometrist | 1205 E 6th St, Moscow, ID 83843 | 2012-10-10 |
| 1851663512 | Optic Art IIi, Pllc | Optometrist | 213 N Main St, Moscow, ID 83843-2700 | 2012-01-27 |
| Find all providers in MOSCOW | ||||
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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.