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DR. KENT M. ARCHIBALD O.D. NPI 1851336721


NPI Information

NPI: 1851336721
Provider Name: DR. KENT M. ARCHIBALD, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual
Address:
76 PROFESSIONAL PLZ
REXBURG, ID
ZIP 83440
Phone: (208) 356-4585
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DR. Kent M. Archibald, O.D. is an optometrist in Rexburg, ID. The provider is 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. DR. Kent M. Archibald, O.D. NPI is 1851336721. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

76 PROFESSIONAL PLZ
REXBURG, ID
ZIP 83440-047
Phone: (208) 356-4585
Fax: (208) 356-4587

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Photography of the retina (HCPCS:92250)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)

The enumeration date for this NPI number is 6/17/2006 and was last updated on 5/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact ManagementODP-513IDAHONo
2152WL0500XOptometristLow Vision RehabilitationODP-513IDAHONo
3152WP0200XOptometristPediatricsODP-513IDAHONo
4152WS0006XOptometristSports VisionODP-513IDAHONo
5152WV0400XOptometristVision TherapyODP-513IDAHONo
6152WX0102XOptometristOccupational VisionODP-513IDAHONo
7152W00000XOptometristODP-513IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100010015323OTHERIDAHOBLUE SHIELD
2410007525OTHERIDAHORAIL ROAD
3T44304MEDICARE UPINIDAHO
4002457600MEDICAIDIDAHO
5ODP-513OTHERIDAHOIDAHO OPTOMETRY LICENSE
60426910001MEDICARE NSCIDAHO
7V109-4OTHERIDAHOBLUE CROSS
882-0383776OTHERIDAHODMBA
91590829MEDICARE ID-TYPE UNSPECIFIEDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.