Elevate Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ELEVATE EYE CARE PLLC

Practice address

404 E Parkcenter Blvd Ste 170
Boise, ID 83706-7564

Phone

(208) 210-4832

Fax

(208) 210-4833

NPI assigned

Mar 10, 2023

Organization subpart

No

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

Authorized official

Name

Jamie N Rodriguez, ODNPI 1649688078

Title

Owner

Phone

(405) 246-5062

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Nicole Rodriguez, O.D

  • Optometrist
  • Boise, ID
  • NPI 1649688078
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1124729835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E PARKCENTER BLVD STE 170",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837067564",
            "telephone_number": "208-210-4832",
            "fax_number": "208-210-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E PARKCENTER BLVD STE 170",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837067564",
            "telephone_number": "208-210-4832",
            "fax_number": "208-210-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-246-5062",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steffanie Eldredge
• Summer Eldredge
• Eleanor Health Professional TX, PLLC
• Elevate Community Services
• Elevate Community Services LLC
• Elevate Health Group PLLC
• Elevation Chiropractic, LLC
• Madison Elie, LCSW
• Jessica E Elkin, PA-C
• Elks Rehab

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.