Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gary J Lattimore, OD

Individual provider Optometrist · NPI 1902863293

Dr. Gary J Lattimore, OD is an Optometry in Idaho Falls, Idaho. Graduated from Pacific University - College of Optometry in 1973, 53 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
53
Trained at
Pacific University - College of Optometry
Licensed in
ID
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

501 S Woodruff Ave
Idaho Falls, ID 83401-5200
Phone: (208) 522-6271
Fax: (208) 522-7217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0505 (ID)

Record details

NPI number1902863293
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedApril 28, 2006
Last updated in NPPESJanuary 22, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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