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REXBURG VISION CENTER
NPI 1801830666
Optometrist in Rexburg, ID

Active since June 15, 2006CLIA 13D2026680 · Waiver
49 E 1ST S, REXBURG, ID 83440(208) 356-4444(208) 356-4445 Get Directions Write a Review

NPPES record last updated: August 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rexburg Vision Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REXBURG VISION CENTER (NPI 1801830666) is a healthcare organization registered as an optometrist in Rexburg, Idaho and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists Darren Hatch, Partner, as its authorized official.

NPPES Registry Identity

NPI1801830666
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameREXBURG VISION CENTER
Location Address49 E 1ST SRexburg, ID 83440-1966
Mailing Address49 E 1st S, Po Box 577Rexburg, ID 83440-1966 · (208) 356-4444 · Fax (208) 356-4445
Phone(208) 356-4444
Fax(208) 356-4445
Organization SubpartNo
Authorized OfficialDarren HatchPartner · (208) 356-4444
Enumeration DateJune 15, 2006
Last NPPES UpdateAugust 30, 2017
✔ NPI 1801830666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
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.
Also ListedEyewear SupplierTaxonomy 332H00000X · License ODP-100403 (ID)
49 E 1ST S, Rexburg, ID 83440
Open in Google Maps ↗

Other Identifiers 2

Medicare NSC0645750001ID
Medicare PIN1593337ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, PacificSource Health Plans, University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2026680

Rexburg Vision Center · Rexburg, ID
Active · expires Oct 31, 2027
CLIA Number13D2026680
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorDamon S. Mortensen
Laboratory Phone(208) 356-4444
Laboratory LocationRexburg Vision Center49 E 1st S, Rexburg, ID 83440
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Rexburg Vision Center carries, from the Medicare DMEPOS supplier directory.

Rexburg Vision Center

DMEPOS supplier · Rexburg, ID
✔

Accepts Medicare assignment

Rexburg Vision Center agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20666387
Medicare Participant SinceJanuary 1, 1997
Supplier Location49 E 1st SRexburg, ID 83440
Phone(208) 356-4444
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NATHAN CODY MORTENSEN OD
Optometrist
49 E 1ST S
REXBURG, ID 83440
Madison County (208) 356-4444
DR. H. SCOTT MORTENSEN III OD
Optometrist
49 E 1ST S
REXBURG, ID 83440
Madison County (208) 356-4444
DR. DARREN HATCH OD
Optometrist
49 E 1ST S
REXBURG, ID 83440
Madison County (208) 356-4444
DAMON SCOTT MORTENSEN OD
Optometrist
49 E 1ST S
REXBURG, ID 83440
Madison County (208) 356-4444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rexburg Vision Center's NPI number?

The NPI number for Rexburg Vision Center is 1801830666. It was assigned to this organization in the NPPES registry on June 15, 2006.

Where is Rexburg Vision Center located?

Rexburg Vision Center is located at 49 E 1st S, Rexburg, ID 83440. The listed phone number is (208) 356-4444.

What is Rexburg Vision Center's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Rexburg Vision Center accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Rexburg Vision Center accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Rexburg Vision Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2026680) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rexburg Vision Center accept?

Health plans from BlueCross BlueShield of Tennessee, PacificSource Health Plans and University of Utah Health Plans list Rexburg Vision Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rexburg Vision Center was last updated on August 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.