Jaimen L. Dixon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100399 Issued in ID

Practice address

700 N Raymond St
Boise, ID 83704-9261

Phone

(208) 375-3871

Fax

(406) 222-8419

NPI assigned

Jun 8, 2016

Last updated

Aug 4, 2023By 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 2

Addresses

Other identifiers 1

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

Southern College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tree City Eyecare PLLCGroup PAC ID 8527309160, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tree City Eyecare PLLC

  dba Optometric Center

  • Optometrist
  • Boise, ID
  • NPI 1598940421
  Medicare reassignment Care Compare group Authorized official
• Christopher L Paris M D P C

  • Specialist
  • Billings, MT
  • NPI 1003975269
  NPD (past)

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1861841033",
    "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": "406-222-8419"
        },
        {
            "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": "406-222-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JAIMEN",
        "middle_name": "L.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100399",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "ID",
            "license": "ODP-100399",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861841033",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Discovery Care Centre of Salmon
• Discovery Care Centre of Salmon
• Marcelyn Ditter
• Division of Veterans Services
• Gage Dixon, PHARMD
• Aida Dizdar-Barac, LCSW
• Kelly-Wihler Djine Mboumenou, PHARMD
• James C Dobbins, BS
• Kara Lynn Dobsa, CNM
• Michelle Ashley Dobson, CSFA, CSA

• 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; 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.