LWK, P.C. (NPI# 1851624019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851624019 |
| Entity Type | Organization |
| Organization Name | LWK, P.C. |
| Other Organization Name | IDAHO EYE PROS |
| Practice Address |
291 N Milwaukee St Suite A-3 Boise ID 83704 |
| Mailing Address |
3485 N Cole Rd Unit 45479 Boise ID 83711-1095 |
| Practice Telephone | 2083787020 |
| Practice Fax Number | 2083757970 |
| Mailing Telephone | 2082977019 |
| Mailing Fax Number | 2082977518 |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | DR. LAVAR W KOFOED (PRESIDENT) |
| Authorized Official Telephone | 2083787020 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 972 | ID | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Eye Pros | Doing Business As Name - Organization |
| Idaho Eye Pros | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1605 Blue Lakes Blvd N Ste A, Twin Falls, ID 833013322 | 2082977019 | 2082977518 |
| 16448 N Midland Blvd, Nampa, ID 836875222 | 2082977019 | 2082977518 |
| 4013 Yellowstone Ave Ste D, Chubbuck, ID 832021984 | 2082977019 | 2082977518 |
| Street Address |
291 N MILWAUKEE ST SUITE A-3 |
| City | BOISE |
| State | ID |
| Zip Code | 83704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205970845 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 291 N Milwaukee St, Westprk Towne Plaza-suite A-3, Boise, ID 83704-9132 | 2007-02-16 |
| 1164871489 | Kacey Dustin Blaylock | Optometrist | 291 N Milwaukee St, Suite A-3, Boise, ID 83704-9132 | 2016-06-07 |
| 1336547371 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 291 N Milwaukee St, Suite A-3, Boise, ID 83704-9132 | 2014-12-08 |
| 1427477793 | Idaho Eye Pros of Boise | Optometrist | 291 N Milwaukee St, Suite A3, Boise, ID 83704-9132 | 2014-04-15 |
| 1023231420 | Lavar W Kofoed | Optometrist | 291 N Milwaukee St, Boise, ID 83704-9132 | 2007-04-11 |
| 1528181443 | Jimmy G Fouch | Optometrist | 291 N Milwaukee St, Boise, ID 83704-9132 | 2007-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| 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 |
|---|---|---|---|---|
| 1215536362 | Daniel & Max, LLC | Optometrist | 1405 N Milwaukee St, Boise, ID 83704-8400 | 2020-10-20 |
| 1326669920 | Clear Eyes Optometric Care, Pllc | Optometrist | 7950 Horseshoe Bend Rd Ste 101, Boise, ID 83714-3809 | 2020-05-05 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1811388796 | Barber Town Eye Care | Optometrist | 3132 S Bown Way, Boise, ID 83706-5400 | 2015-02-12 |
| 1255742532 | Tiffany Risner | Optometrist | 610 S Americana Blvd, Boise, ID 83702-6731 | 2014-05-08 |
| 1154690923 | Gem State Family Eyecare, P.C. | Optometrist | 3815 W State St, Boise, ID 83703-5221 | 2011-12-22 |
| 1750678298 | Wendell Fackrell | Optometrist | 421 N. Cole Rd. Ste 102, Boise, ID 83704 | 2011-07-05 |
| 1972813855 | Dylan L Hatfield | Optometrist | 360 E. Mallard Dr. Ste 110, Hollingshead Eye Center, Boise, ID 83706-3945 | 2010-10-13 |
| 1043521941 | Nessa Livingston | Optometrist | 7960 W Rifleman St Ste 150, Boise, ID 83704-9065 | 2010-06-24 |
| Find all providers in BOISE | ||||
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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.