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MAPLE GROVE EYECARE PC
NPI 1124684485
Ophthalmology in Boise, ID

Active since May 13, 2019CLIA 13D2000453 · Waiver
8955 W HACKAMORE DR, BOISE, ID 83709(208) 344-7944(208) 343-4676 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maple Grove Eyecare Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAPLE GROVE EYECARE PC (NPI 1124684485) is a healthcare organization registered as an ophthalmology in Boise, Idaho and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through November 30, 2027 and lists Matthew D Neale, Practice Owner/ophthalmologist, as its authorized official.

NPPES Registry Identity

NPI1124684485
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMAPLE GROVE EYECARE PC
Location Address8955 W HACKAMORE DRBoise, ID 83709
Mailing Address8955 W Hackamore DrBoise, ID 83709-1673 · (208) 344-7944 · Fax (208) 343-4676
Phone(208) 344-7944
Fax(208) 343-4676
Organization SubpartNo
Authorized OfficialMatthew D NealePractice Owner/ophthalmologist · (541) 687-1715
Enumeration DateMay 13, 2019
✔ NPI 1124684485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
8955 W HACKAMORE DR, Boise, ID 83709
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Other Identifiers 1

Medicaid1184885345OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2000453

Maple Grove Eye Care · Boise, ID
Active · expires Nov 30, 2027
CLIA Number13D2000453
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorMatthew D. Neale
Laboratory Phone(208) 344-7944
Laboratory LocationMaple Grove Eye Care8955 W Hackamore Dr, Boise, ID 83709
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW D NEALE MD
Ophthalmology
8955 W HACKAMORE DR
BOISE, ID 83709
Ada County (208) 344-7944
DR. JOSHUA EARL MCADAMS O.D.
Optometrist
8955 W HACKAMORE DR
BOISE, ID 83709
Ada County (208) 344-7944
LAWRENCE D ANDERSON MD ESTATE
Ophthalmology
8955 W HACKAMORE DR
BOISE, ID 83709
Ada County (208) 344-7944
MAPLE GROVE SURGICAL LLC
Clinic/Center (Ambulatory Surgical)
8955 W HACKAMORE DR
BOISE, ID 83709
Ada County (208) 344-7944
VISION QUEST MEDICAL CENTER, PA
Ophthalmology
8955 W HACKAMORE DR
BOISE, ID 83709
Ada County (208) 377-3937

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maple Grove Eyecare PC's NPI number?

The NPI number for Maple Grove Eyecare PC is 1124684485. It was assigned to this organization in the NPPES registry on May 13, 2019.

Where is Maple Grove Eyecare PC located?

Maple Grove Eyecare PC is located at 8955 W Hackamore Dr, Boise, ID 83709. The listed phone number is (208) 344-7944.

What is Maple Grove Eyecare PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Maple Grove Eyecare PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2000453) is associated with this NPI, valid through November 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Maple Grove Eyecare PC accept?

Health plans from Moda Health Plan, Inc. list Maple Grove Eyecare PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maple Grove Eyecare PC was last updated on May 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.