Individual provider Active NPI

Katelyn Doyle, OD

  • Optometrist
  • Boise, ID
National Provider Identifier
1639814874
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4271192 Issued in ID
Practice address
700 N Raymond St
Boise, ID 83704-9261
Phone
(208) 375-3871
Fax
(208) 321-1765
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 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 4271192 ID Primary

Addresses

Primary practice location

700 N Raymond St
Boise, ID 83704-9261

Mailing address

700 N Raymond St
Boise, ID 83704-9261
Phone (208) 375-3871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240701003370 OR Practitioner - Optometry 2567906530 Reassigns benefits to 1 organization
I20260409002923 ID Practitioner - Optometry 2567906530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Health Northwest PCGroup PAC ID 9234039926, 72 clinicians
Tree City Eyecare PLLCGroup PAC ID 8527309160, 2 clinicians

Practice addresses (Care Compare)

15298 SW Royalty Pkwy
Tigard, OR 97224-3904
Phone (503) 620-4070

700 N Raymond St
Boise, ID 83704-9261
Phone (208) 375-3871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4678ORMDClinical Social Worker
4271192IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Northwest P.C. Optometrist CurrentSince Aug 5, 2024 Accepting new patients
Eye Health Northwest, PC CurrentSince Aug 5, 2024 Accepting new patients
Tree City Eyecare PLLC Optometrist CurrentSince Feb 23, 2026 Accepting new patients

Locations

700 N Raymond St
Boise, ID 83704
Phone (208) 375-3871

11086 SE Oak St
Portland, OR 97222
Phone (503) 557-2020

15298 SW Royalty Pkwy
Tigard, OR 97224
Phone (503) 620-0721

Interoperability endpoints

  • Direct secure messaging: katelyn.doyle@direct.ehnpc.nextgenshare.com

Organizations & group practices 3

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": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1639814874",
    "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": {
        "last_name": "DOYLE",
        "first_name": "KATELYN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "4271192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.