NPIMap

Organization Active NPI

Nielson Eyecare Professionals PC

  • Optometrist
  • Meridian, ID
National Provider Identifier
1285705772
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP100015 Issued in ID
Legal business name
NIELSON EYECARE PROFESSIONALS PC
Practice address
1715 S Wells Ave
Meridian, ID 83642-5756
Phone
(208) 898-0304
Fax
(208) 898-0380
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
April Morrison
Title
Billing Coordinator
Phone
(208) 898-0304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ODP100015 ID Primary

Addresses

Primary practice location

1715 S Wells Ave
Meridian, ID 83642-5756

Mailing address

2320 E Gala St
Suite 400
Meridian, ID 83642-7091
Phone (208) 898-0304

Other identifiers 3

IdentifierTypeStateIssuer
51385OtherIDDAVIS VISION
V6945OtherIDBLUE CROSS
NE29102OtherIDSPECTERA

Other names 1

  • The Eye Site Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040306000246 ID Part B Supplier - Clinic/Group Practice 0446148928 Receives reassigned benefits from 3 practitioners
Practice locations: Meridian, ID
O20100930083810 ID DME Supplier - Physician - Optometrist 0446148928 Practice locations: Meridian, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
The Eye Site1715 S Wells Ave, Meridian, ID 83642-5757(208) 898-0304 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since May 12, 2004

National Provider Directory

National Provider Directory

Locations

1715 S Wells Ave
Meridian, ID 83642
Phone (208) 898-0304

1715 S Wells Ave
Ste 100
Meridian, ID 83642
Phone (208) 898-0304

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1285705772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 E GALA ST",
            "address_2": "SUITE 400",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427091",
            "telephone_number": "208-898-0304",
            "fax_number": "208-898-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 S WELLS AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425756",
            "telephone_number": "208-898-0304",
            "fax_number": "208-898-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIELSON EYECARE PROFESSIONALS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "208-898-0304"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP100015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "51385",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "V6945",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "NE29102",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.