Tree City Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TREE CITY EYECARE PLLC

Doing business as

Optometric Center

Practice address

700 N Raymond St
Boise, ID 83704-9261

Phone

(208) 375-3871

Fax

(208) 321-1765

NPI assigned

Jan 9, 2008

Last updated

Aug 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jaimen Dixon, ODNPI 1861841033

Title

Owner

Phone

(208) 375-3871

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• Optometric Center Doing business as
• Optometric Center, P.A. Former legal business name

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

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

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaimen L. Dixon, O.D.

  • Optometrist
  • Boise, ID
  • NPI 1861841033
  Medicare reassignment Care Compare group Authorized official
• Katelyn Doyle, OD

  • Optometrist
  • Boise, ID
  • NPI 1639814874
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1598940421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N RAYMOND ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049261",
            "telephone_number": "208-375-3871",
            "fax_number": "208-321-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N RAYMOND ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049261",
            "telephone_number": "208-375-3871",
            "fax_number": "208-321-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE CITY EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "JAIMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-375-3871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "20015736",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15989404214",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optometric Center, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• 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 Aug 4, 2023; 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.