| Dr Jamie Nicole Rodriguez, OD | |
|
404 E Parkcenter Blvd Ste 170, Boise, ID 83706-7564 | |
| (208) 210-4832 | |
| (208) 210-4833 |
| Full Name | Dr Jamie Nicole Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 404 E Parkcenter Blvd Ste 170, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649688078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2825 (Oklahoma) | Secondary |
| 152W00000X | Optometrist | 60892989 (Washington) | Secondary |
| 152W00000X | Optometrist | ODP-100527 (Idaho) | Primary |
| Provider Name | Lwk P C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1851624019 PECOS PAC ID: 5890824247 Enrollment ID: O20100524000915 |
| Provider Name | Ada Vision Center East Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548786098 PECOS PAC ID: 8224303037 Enrollment ID: O20171004002431 |
| Provider Name | Eye Pros Treasure Valley |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083370340 PECOS PAC ID: 5496129934 Enrollment ID: O20230323000918 |
| Provider Name | Elevate Eye Care Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124729835 PECOS PAC ID: 9931553997 Enrollment ID: O20230925001404 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jamie Nicole Rodriguez, OD 404 E Parkcenter Blvd Ste 170, Boise, ID 83706-7564 Ph: (208) 210-4832 | Dr Jamie Nicole Rodriguez, OD 404 E Parkcenter Blvd Ste 170, Boise, ID 83706-7564 Ph: (208) 210-4832 |
Vision Quest Medical Center, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-377-3937 Fax: 208-377-9455 | |
Dr. Gregory N Bodily, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 610 Americana Blvd, Boise, ID 83702 Phone: 208-344-2020 Fax: 208-344-2371 | |
Brent Sexauer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1175 W Boise Ave, Boise, ID 83706 Phone: 208-384-9194 | |
J. Randall Pitman & Associates, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2051 S Cole Rd, Boise, ID 83709 Phone: 208-672-1200 Fax: 208-321-8728 | |
Dr. James W Vail, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3417 N Cole Rd, Boise, ID 83704 Phone: 208-377-1102 Fax: 208-377-5853 | |
Dr. Lavar W Kofoed, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 291 N Milwaukee St, Boise, ID 83704 Phone: 208-378-7020 Fax: 208-378-9460 | |
Dr. Paul Christian Neville, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 305 E Jefferson St, Boise, ID 83712 Phone: 208-381-6910 |