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DR. GARY J LATTIMORE OD
NPI 1902863293
Optometrist in Idaho Falls, ID

Active since April 28, 2006PECOS Enrolled
501 S WOODRUFF AVE, IDAHO FALLS, ID 83401(208) 522-6271(208) 522-7217 Get Directions Write a Review

NPPES record last updated: January 22, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Gary J Lattimore Od NPPES

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

DR. GARY J LATTIMORE OD (NPI 1902863293) is an individual optometrist in Idaho Falls, Idaho, licensed in Idaho (0505) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902863293
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. GARY J LATTIMORECredential: OD
Location Address501 S WOODRUFF AVEIdaho Falls, ID 83401-5200
Mailing Address501 S Woodruff AveIdaho Falls, ID 83401-5200 · (208) 522-6271 · Fax (208) 522-7217
Phone(208) 522-6271
Fax(208) 522-7217
Sole ProprietorYes
Enumeration DateApril 28, 2006
Last NPPES UpdateJanuary 22, 2010
✔ NPI 1902863293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ID · 0505
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.
501 S WOODRUFF AVE, Idaho Falls, ID 83401
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Other Identifiers 3

Medicare ID-Type Unspecified5190784ID
Medicaid0002441400ID
Medicare UPINT44300ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary J Lattimore Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gary Lattimore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

For Your Eyes Only, LLC
0.5 mi
Optometrist
501 S WOODRUFF AVE
Idaho Falls, ID 83401
  • Reassigned Medicare billing, Idaho enrollment
  • 2 clinicians in this Medicare group
NPI 1407148109 (208) 522-6271

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
47 services46 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
17 services15 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. LEON C PETERSON O.D.
Optometrist
501 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 522-6271
A JOINT VENTURE
Physical Therapist
501 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (720) 934-3429
FOR YOUR EYES ONLY, LLC
Optometrist
501 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 522-6271
GARY J LATTIMORE
Optometrist
501 S WOODRUFF AVE
IDAHO FALLS, ID 83401
Bonneville County (208) 522-6271

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 Gary Lattimore's NPI number?

The NPI number for Gary Lattimore is 1902863293. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Gary Lattimore located?

Gary Lattimore practices at 501 S Woodruff Ave, Idaho Falls, ID 83401. The listed phone number is (208) 522-6271.

What is Gary Lattimore's specialty?

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

Is Gary Lattimore enrolled in Medicare?

Yes. Gary Lattimore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gary Lattimore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Lattimore reassigns Medicare benefits to For Your Eyes Only, LLC (Idaho Falls, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Lattimore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Lattimore accept?

Health plans from Anthem Blue Cross and Blue Shield, Select Health and University of Utah Health Plans list Gary Lattimore 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 Gary Lattimore was last updated on January 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.