NPI age
18 years
Enumerated 2007-07-12
● Active Type 2 · Organization
Gary J Lattimore
Gary J Lattimore is 1 of 598 optometrist organizations in Idaho.
Primary specialty
Optometrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lattimore
Optometrist
Last NPPES update
2008-02-28
Source: monthly bulk 2026-05
How this organization compares
Across 598 active optometrist providers in Idaho.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
501 S Woodruff Ave
Idaho Falls, ID 834015200
Mailing address
501 S Woodruff Ave
Idaho Falls, ID 834015200
Authorized official
Gary J Lattimore, O.D.
Optometrist
📞 2085226271
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Gary Lattimore, OD Optometrist NPI 1902863293
- Leon Peterson, O.D. Optometrist NPI 1013943828
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 |
|---|---|---|
| 01 (ID) | 000010015231 | BLUESHIELD OF IDAHO |
| 05 (IN) | 002441400 | |
| 01 (ID) | V0724 | BLUE CROSS OF IDAHO |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.