Jamie Nicole Rodriguez, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100527 Issued in ID

Practice address

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

Phone

(208) 210-4832

Fax

(208) 210-4833

NPI assigned

Jul 29, 2014

Last updated

Mar 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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 1

Specialty

Optometry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Elevate Eye Care PLLC

  • Optometrist
  • Boise, ID
  • NPI 1124729835
  Medicare reassignment NPD Authorized official
• Ada Vision Center East PLLC

  dba Paul Bigelow OD

  • Optometrist
  • Boise, ID
  • NPI 1548786098
  Medicare reassignment NPD
• Eye Pros Treasure Valley

  dba Eye Pros

  • Optometrist
  • Meridian, ID
  • NPI 1083370340
  Medicare reassignment NPD
• LWK, P.C.

  dba Eye Pros

  • Optometrist
  • Boise, ID
  • NPI 1851624019
  Medicare reassignment NPD
• Max Vision PLLC

  dba Eye 5 Optical

  • Optometrist
  • Tukwila, WA
  • NPI 1518560184
  NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1649688078",
    "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": {
        "last_name": "RODRIGUEZ",
        "first_name": "JAMIE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2825",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60892989",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Marie Rode
• Bret J Rodgers
• Katherine Rodgers, M.S., L.P.C.
• Lauren Rodgers, ATC
• Dasie Rodriguez
• Karly Rodriguez, DC
• Lisa Rodriguez, LCPC
• Shanell Rodriguez, L.AC.
• Rami Alexandria Roe, LMSW
• Tracy Lynn Roe, M.A., L.C.P.C., NCC

• 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; Order and Referring.
• 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.