P Praxis·MD
● Active Type 1 · Individual

DR. Wade Roger Demordaunt, O.D.

Optometrist·Rexburg, ID· NPI 1275591711 · Enumerated 2006 · 20 years on NPI
Demordaunt is 1 of 2 optometrist providers in Rexburg and 1 of 16 in Idaho.
NPI age
20 years
Enumerated 2006-05-03
Primary specialty
Optometrist
Plus 3 subspecialties
Licensed in
ID, UT, AZ, CA
4 states
Status
Active
No deactivations on record
Last NPPES update
2016-02-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 16 active optometrist providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
State licenses
4 states
Top 87% — 12% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
1450 N 2nd E
Rexburg, ID 834405131
📞 2084976406fax 2083593007
Mailing address
Po Box 158
Rexburg, ID 834400158
📞 2084976406fax 2083593007

Specialties

  • Optometrist Primary
    The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal...
    ID license #ODP-959UT license #351670-9934AZ license #1853 taxonomy 152WC0802X
  • 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...
    CA license #14349 taxonomy 152W00000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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