BRIAN J. MCGOURTY (NPI# 1811091309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811091309 |
| Entity Type | Individual |
| Full Name | BRIAN J. MCGOURTY |
| Credential | O.D. |
| Practice Address |
310 2nd St S Nampa ID 83651-3765 |
| Practice Telephone | 2084671361 |
| Practice Fax Number | 2084679008 |
| Mailing Telephone | 2084671361 |
| Mailing Fax Number | 2084679008 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2010-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0-592 | ID | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | AETNA | E00820496865 | 01 |
| ID | BLUE CROSS | V9063 | 01 |
| ID | REGENCE BLUE SHIELD | 000010015424 | 01 |
| ID | 002622300 | 05 | |
| ID | TRICARE | 82049686583651A001 | 01 |
| Street Address |
310 2ND ST S |
| City | NAMPA |
| State | ID |
| Zip Code | 83651-3765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134204100 | Eyecare Associates of Nampa Pa | Optometrist | 310 2nd St S, Nampa, ID 83651-3765 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
| 1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
| 1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
| 1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
| 1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
| 1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
| 1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
| 1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
| Find all providers in zip 83651 | ||||
| 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 |
|---|---|---|---|---|
| 1467945873 | Blake Bingham | Optometrist | 1700 W Karcher Rd, Nampa, ID 83651-1531 | 2018-06-11 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1598137317 | Mobileyes Health Care Pllc | Optometrist | 17415 Solomon Dr, Nampa, ID 83687-5371 | 2015-10-21 |
| 1871912147 | Idaho Eye Pros of Nampa | Optometrist | 16449 Midland Blvd, Nampa, ID 83687-5222 | 2014-04-15 |
| 1083922918 | Pinnacle Vision Care, Pllc | Optometrist | 1213 North Jacob Allcott Way, Nampa, ID 83687 | 2010-09-14 |
| 1699087437 | Landon Knight Hagberg | Optometrist | 10876 Mud Springs Ave., Nampa, ID 83687-8013 | 2010-07-09 |
| 1083800882 | Lorance Wilson Harwood | Optometrist | 820 W Tropical Dr, Nampa, ID 83686-8745 | 2007-09-14 |
| 1770613986 | Lester Dwight Downer | Optometrist | 169 N Midland Blvd, Nampa, ID 83651-2034 | 2007-03-06 |
| 1992832935 | Scott D. Hansen | Optometrist | 16449 N. Midland Blvd., Nampa, ID 83687 | 2007-02-27 |
| 1669552048 | Justin David Sparhawk | Optometrist | 2025 12th Ave Rd, Nampa, ID 83686-6459 | 2006-10-17 |
| Find all providers in NAMPA | ||||
Please comment or provide details below to improve the information on BRIAN J. MCGOURTY.
| 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.