Diamond Peak Idaho
NPI 1588039127 · Optometrist · Rexburg, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Diamond Peak Idaho is a Optometrist organization in Rexburg, ID (NPI 1588039127).
Provider details
- NPI number
- 1588039127
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Wade Demordaunt, Owner(925) 222-1957
- License
- ODP-959 (ID)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-12-08
- Last updated
- 2016-02-04
Frequently asked questions
- What is Diamond Peak Idaho's NPI number?
- Diamond Peak Idaho's National Provider Identifier (NPI) is 1588039127, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Diamond Peak Idaho?
- Diamond Peak Idaho is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Diamond Peak Idaho located?
- Diamond Peak Idaho's practice location on file with NPPES is 1450 N 2nd E, Rexburg, ID 83440-5131.
- What is Diamond Peak Idaho's phone number?
- The practice phone number listed in the NPPES registry for Diamond Peak Idaho is (208) 497-6406.
- Does Diamond Peak Idaho accept Medicare?
- Diamond Peak Idaho is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Diamond Peak Idaho?
- The authorized official listed on Diamond Peak Idaho's NPPES record is Wade Demordaunt, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Diamond Peak Idaho's NPI active?
- Yes — Diamond Peak Idaho's NPI (1588039127) is active in the NPPES registry as of the last update on 2016-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.