Individual provider Active NPI

Annika Lessard, OD

  • Optometrist
  • Meridian, ID
National Provider Identifier
1073406369
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5171668 Issued in ID
Practice address
3855 E Amity Rd
Meridian, ID 83642-8380
Phone
(208) 370-2020
Fax
(208) 600-6899
NPI assigned
Jun 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5171668 ID Primary

Addresses

Primary practice location

3855 E Amity Rd
Meridian, ID 83642-8380

Mailing address

9887 W Carolina Dr
Boise, ID 83709-2696
Phone (707) 712-9087

Other practice location 1

413 SW 5th Ave Ste 100
Meridian, ID 83642-8601
Phone (208) 370-2020

Other practice location 2

4270 N Eagle Rd
Boise, ID 83713-0726
Phone (208) 938-2010

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250619002443 ID Practitioner - Optometry 0749791333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyes on Meridian LLCGroup PAC ID 4587073788, 3 clinicians
McNeel Eye Center IncGroup PAC ID 5294804415, 4 clinicians

Practice addresses (Care Compare)

3855 E Amity Rd
Meridian, ID 83642-8380
Phone (208) 370-2020

4270 N Eagle Rd
Boise, ID 83713-0726
Phone (208) 938-2010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Meridian LLC Optometrist CurrentSince Jun 19, 2025 Accepting new patients
McNeel Eye Center, Inc. Optometrist CurrentSince Jun 19, 2025 Accepting new patients

Locations

4270 N Eagle Rd
Boise, ID 83713
Phone (208) 938-2010

413 SW 5th Ave
#100
Meridian, ID 83642
Phone (208) 370-2020

3855 E Amity Rd
Meridian, ID 83642
Phone (208) 370-2020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1073406369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9887 W CAROLINA DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092696",
            "telephone_number": "707-712-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 E AMITY RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428380",
            "telephone_number": "208-370-2020",
            "fax_number": "208-600-6899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 SW 5th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836428601",
            "country_code": "US",
            "telephone_number": "208-370-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4270 N Eagle Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837130726",
            "country_code": "US",
            "telephone_number": "208-938-2010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESSARD",
        "first_name": "ANNIKA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "5171668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.