JETT SCRIMSHER (NPI# 1912524513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912524513 |
| Entity Type | Individual |
| Full Name | JETT SCRIMSHER |
| Credential | OD |
| Practice Address |
8445 N Government Way Hayden ID 83835-9349 |
| Practice Telephone | 2086609960 |
| Mailing Telephone | 2086609960 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODP-100505 | ID | Eye and Vision Services Providers |
| Street Address |
8445 N GOVERNMENT WAY |
| City | HAYDEN |
| State | ID |
| Zip Code | 83835-9349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335897 | Robert A Sorensen | Optometrist | 8445 N Government Way, Hayden, ID 83835-9280 | 2005-09-09 |
| 1013575851 | Tyrel J Bruneel | Optometrist | 8445 N Government Way, Hayden, ID 83835-9280 | 2019-06-05 |
| 1528418977 | Kyle Andrew Stott | Optometrist | 8445 N Government Way, Hayden, ID 83835-9280 | 2016-06-16 |
| 1629427372 | Hayden Vision Center | Optometrist | 8445 N Government Way, Hayden, ID 83835-9280 | 2016-06-03 |
| 1407975873 | Hayden Vision Center P.a. | Specialist | 8445 N Government Way, Hayden, ID 83835-9280 | 2007-03-28 |
| 1699870527 | Debra L. Stoenner | Optometrist | 8445 N Government Way, Hayden, ID 83835-9280 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212371 | Ngan T Nguyen | Pharmacist | 161 E. Prairie Shopping Center, Hayden, ID 83835 | 2020-07-10 |
| 1689158461 | Rskiom, Pllc | Electrodiagnostic Medicine | 9323 N Government Way #6, Hayden, ID 83835 | 2018-09-18 |
| 1235616913 | Kimberly Jill Young | Dietitian, Registered | 8500 N. Atlas Rd., Hayden, ID 83835 | 2018-07-25 |
| 1851894380 | Medicine Man North Pharmacy Inc | Pharmacy | 30585 N Roberts Rd, Hayden, ID 83835 | 2018-03-11 |
| 1366997322 | Jennifer Amber Belmont | Social Worker | 8680 N Wayne Dr, Suite A, Hayden, ID 83835 | 2016-08-19 |
| 1548637994 | Dance Dentistry Pllc | Clinic/Center | 1027 W Prairie Ave, Hayden, ID 83835 | 2015-09-01 |
| 1982012498 | Dallin J. Dance | Dentist | 1027 W. Prairie Ave., Hayden, ID 83835 | 2014-07-28 |
| 1669808614 | Integrated Interventions LLC | Clinic/Center | 2482 E. Glacier Rd., Hayden Lake, ID 83835 | 2013-09-23 |
| 1669812301 | Caleb Jerome Foss | Physical Therapist | 8382 N Wayne Dr Ste 100, Hayden, ID 83835 | 2013-06-26 |
| 1437493798 | Joseph Neal Tessendorf | Chiropractor | 1401 Biztown Loop, Hayden, ID 83835 | 2012-11-26 |
| Find all providers in zip 83835 | ||||
| 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 |
|---|---|---|---|---|
| 1396238689 | Daniel Leo Adams | Optometrist | 8220 N Cornerstone Dr Ste A, Hayden, ID 83835-8683 | 2018-06-11 |
| 1295005056 | Breazeal & Associates Pa Inc | Optometrist | 8160 N. Cornerstone Ave., Suite B, Hayden, ID 83835 | 2012-01-10 |
| 1740262765 | Robin Ray Lindauer | Optometrist | 550 W Honeysuckle Ave, Hayden, ID 83835-6042 | 2005-11-16 |
| 1356335897 | Robert A Sorensen | Optometrist | 8445 N Government Way, Hayden, ID 83835-9280 | 2005-09-09 |
| 1013575851 | Tyrel J Bruneel | Optometrist | 8445 N Government Way, Hayden, ID 83835-9280 | 2019-06-05 |
| 1528418977 | Kyle Andrew Stott | Optometrist | 8445 N Government Way, Hayden, ID 83835-9280 | 2016-06-16 |
| 1629427372 | Hayden Vision Center | Optometrist | 8445 N Government Way, Hayden, ID 83835-9280 | 2016-06-03 |
| 1699870527 | Debra L. Stoenner | Optometrist | 8445 N Government Way, Hayden, ID 83835-9280 | 2006-09-14 |
| 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 |
| 1538792551 | Eyes On Meridian LLC | Optometrist | 119 E Calderwood Dr, Meridian, ID 83642-7482 | 2020-02-18 |
| 1962067538 | Eyecare Associates of Kuna | Optometrist | 943 N Linder Rd Ste 102, Kuna, ID 83634-3395 | 2019-05-08 |
| 1700440948 | Mobilitycares LLC | Optometrist | 14340 Salmon River Rd, Caldwell, ID 83607-7813 | 2019-04-23 |
| 1255898292 | Kreed Bowman Od Pllc | Optometrist | 250 S Skyline Dr Ste 6, Idaho Falls, ID 83402-3292 | 2019-02-26 |
| 1972089514 | John Wesley Porter | Optometrist | 3363 Merlin Dr, Idaho Falls, ID 83404-7405 | 2018-07-17 |
| 1467945873 | Blake Bingham | Optometrist | 1700 W Karcher Rd, Nampa, ID 83651-1531 | 2018-06-11 |
| 1598258055 | Daniel Christopher Kunz | Optometrist | 4191 Poleline Rd Ste C, Pocatello, ID 83202-2402 | 2018-06-10 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 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.