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

Q: 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.

Q: What is Gary Lattimore's specialty?

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

Q: 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.

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment

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: August 09, 2026.

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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 and is a graduate of Pacific University - College Of Optometry (1973).

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

Medical School CMSPacific University - College Of OptometryGraduated 1973

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 PacificSource Health Plans, Providence Health Plan, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gary J Lattimore Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193834455

PECOS Enrollment IDI20110620000470

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.

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 3

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

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gary Lattimore accept?

Health plans from PacificSource Health Plans, Providence Health Plan, 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.