Individual provider Active NPI

Jaime Arambula

  • Optometrist
  • Boise, ID
National Provider Identifier
1952594863
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100600 Issued in ID
Practice address
3132 S Bown Way
Boise, ID 83706-5400
Phone
(208) 957-6504
Fax
(208) 629-1559
NPI assigned
Aug 23, 2007
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-100600 ID Primary

Addresses

Primary practice location

3132 S Bown Way
Boise, ID 83706-5400

Mailing address

3502 E Tallow LN
Boise, ID 83716-7092
Phone (510) 684-4581

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240716000885 ID Practitioner - Optometry 2668864315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barber Town Eye CareGroup PAC ID 8527376235, 2 clinicians

Practice addresses (Care Compare)

3132 S Bown Way
Boise, ID 83706-5400
Phone (208) 957-6504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barber Town Eye Care Optometrist CurrentSince Jul 1, 2024 Accepting new patients

Locations

3132 S Bown Way
Boise, ID 83706
Phone (208) 957-6504

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1952594863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 E TALLOW LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837167092",
            "telephone_number": "510-684-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 S BOWN WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065400",
            "telephone_number": "208-957-6504",
            "fax_number": "208-629-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAMBULA",
        "first_name": "JAIME",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.