Renee Rowley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

100495 Issued in ID

Practice address

1715 S Wells Ave Ste 100
Meridian, ID 83642-5757

Phone

(208) 898-0304

NPI assigned

Jul 7, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare Specialties of Idaho PCGroup PAC ID 2163927526, 5 clinicians

Nielson Eyecare Professionals PCGroup PAC ID 0446148928, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eyecare Specialties of Idaho PC

  • Optometrist
  • Preston, ID
  • NPI 1417848037
  Medicare reassignment Care Compare group NPD
• Nielson Eyecare Professionals PC

  • Optometrist
  • Meridian, ID
  • NPI 1285705772
  Medicare reassignment Care Compare group NPD
• Eagle Vision One PLLC

  • Optometrist
  • Eagle, ID
  • NPI 1699845503
  Medicare reassignment NPD
• Luxottica of America Inc.

  • Eyewear Supplier
  • Fairview Heights, IL
  • NPI 1891880977
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1003299256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 S WELLS AVE STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425757",
            "telephone_number": "208-898-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 S WELLS AVE STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425757",
            "telephone_number": "208-898-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLEY",
        "first_name": "RENEE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010887",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "100495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Stephan Roth, D.O.
• Ivanna Tali Rotman
• Brendan Rourick, PT
• Bryn Anne Rowe, PODIATRY STUDENET
• Wesley J Rowlette, PA-C
• Eric D. Roy, MD
• Molly F Roy, PA-C
• Royal Innovations,LLC
• Jennifer Jo Royal, MS, CCC-SLP
• Shannon Roybal, M.S CCC-SLP

• Optometrist in Meridian, ID
• Providers in Meridian, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.