Kevin McElroy, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP653 Issued in ID

Practice address

50 E Carmel Dr
Meridian, ID 83646-3301

Phone

(208) 888-5252

Fax

(208) 884-4280

NPI assigned

Oct 4, 2006

Last updated

Feb 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Kevin McElroy, OD PA

  dba Meridian Vision

  • Optometrist
  • Meridian, ID
  • NPI 1215054291
  Authorized official Same address or phone
• Dr. John a Hogg, OD PLLC

  dba Meridian Vision

  • Optometrist
  • Meridian, ID
  • NPI 1093358459
  NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1528154242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E CARMEL DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836463301",
            "telephone_number": "208-888-5252",
            "fax_number": "208-884-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E CARMEL DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836463301",
            "telephone_number": "208-888-5252",
            "fax_number": "208-884-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "OD, PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP653",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "ID",
            "license": "ODP653",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "ID",
            "license": "ODP653",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003410000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / TRUE BLUE",
            "identifier": "V7169",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "82304",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "721912",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Dawn McCuistion, PMHNP
• Jamus Edward McCullough
• Monica Hermine McCullough, CPNP
• Ana McDevitt
• Tundra McDougal I
• Eric Reed McEvoy, PT, MPT
• Legette McEwan
• Melissa Anne McFadden
• Kevin McFarland, PHARMD
• Allison K McFarlane, LMSW

• 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 Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.