P Praxis·MD
● Active Type 1 · Individual

DR. Gary J Lattimore, OD

Optometrist·Idaho Falls, ID· NPI 1902863293 · Enumerated 2006 · 20 years on NPI
Lattimore is 1 of 63 optometrist providers in Idaho Falls and 1 of 598 in Idaho.
NPI age
20 years
Enumerated 2006-04-28
Primary specialty
Optometrist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-01-22
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
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Practice location
501 S Woodruff Ave
Idaho Falls, ID 834015200
📞 2085226271fax 2085227217
Mailing address
501 S Woodruff Ave
Idaho Falls, ID 834015200
📞 2085226271fax 2085227217

Specialties

  • Optometrist Primary
    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...
    ID license #0505 taxonomy 152W00000X

Identifiers

TypeValueNotes
05 (ID) 0002441400

Practice context

Part of a multi-provider practice. 3 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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