Oic Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OIC EYE CARE LLC

Practice address

8359 W Emerald St
Boise, ID 83704-8304

Phone

(360) 721-7293

NPI assigned

Sep 10, 2021

Organization subpart

No

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

Authorized official

Name

Vitaliy Pelikhatyy, ODNPI 1740515824

Title

President

Phone

(360) 721-7293

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

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

• Vitaliy Pelikhatyy, O.D

  • Optometrist
  • Boise, ID
  • NPI 1740515824
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1699444794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 S GIVENS WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8359 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048304",
            "telephone_number": "360-721-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OIC EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "PELIKHATYY",
        "authorized_official_first_name": "VITALIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-721-7293",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vitaliy@oiceyecare.com",
            "affiliation": "Y",
            "affiliationName": "Lenscrafters Inc",
            "address_1": "8359 W Emerald St",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837048304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ty Ogata, DC
• Matthew Ogle, D.C.
• Sylvia Oh, L.C.S.W.
• Emily Jean Ohlin, PT
• Rebecca Louise Ohlin, M.A., CCC-SLP
• Christine Marie Oja, MD
• Eric Okazaki, PHARMD
• Tedy Okech
• Okemefuna Okpara MD Id, PLLC
• Katie Okennedy

• 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 Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.