NPI age
15 years
Enumerated 2010-07-09
● Active
Type 1 · Individual
DR. Landon Knight Hagberg, O.D.
Hagberg is 1 of 27 optometrist providers in Nampa and 1 of 598 in Idaho.
Primary specialty
Optometrist
Plus 1 subspecialty
Licensed in
ID, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2013-08-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 598 active optometrist providers in Idaho.
NPI age
15 years
↓ 3 yr below median (18 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
0
17% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-07Enumerated in NPPES
2010
2026
Where they practice
Practice location
10876 Mud Springs Ave.
Nampa, ID 836878013
Mailing address
10876 Mud Springs Ave.
Nampa, ID 836878013
Specialties
-
Optometrist PrimaryDoctors 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1699087437 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new optometrist provider has been added in Nampa in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.