ELEVATE EYE CARE PLLC
NPI 1124729835
Optometrist in Boise, ID

Q: What is Elevate Eye Care PLLC's NPI number?

The NPI number for Elevate Eye Care PLLC is 1124729835. It was assigned to this organization in the NPPES registry on March 10, 2023.

Q: What is Elevate Eye Care PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since March 10, 2023

404 E PARKCENTER BLVD STE 170, BOISE, ID 83706(208) 210-4832(208) 210-4833 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Elevate Eye Care Pllc NPPES

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

ELEVATE EYE CARE PLLC (NPI 1124729835) is a healthcare organization registered as an optometrist in Boise, Idaho and active in the NPI registry since March 2023. The organization lists Jamie N Rodriguez, Owner, as its authorized official.

NPPES Registry Identity

NPI1124729835

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameELEVATE EYE CARE PLLC

Location Address404 E PARKCENTER BLVD STE 170Boise, ID 83706-7564

Mailing Address404 E Parkcenter Blvd Ste 170Boise, ID 83706-7564 · (208) 210-4832 · Fax (208) 210-4833

Phone(208) 210-4832

Fax(208) 210-4833

Organization SubpartNo

Authorized OfficialJamie N RodriguezOwner · (405) 246-5062

Enumeration DateMarch 10, 2023

NPPES CertifiedMarch 10, 2023

✔ NPI 1124729835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

404 E PARKCENTER BLVD STE 170, Boise, ID 83706

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elevate Eye Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Elevate Eye Care PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jamie Rodriguez, O.D

Optometry

NPI 1649688078

404 E PARKCENTER BLVD STE 170
Boise, ID 83706

(208) 210-4832

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Elevate Eye Care PLLC's NPI number?

The NPI number for Elevate Eye Care PLLC is 1124729835. It was assigned to this organization in the NPPES registry on March 10, 2023.

Where is Elevate Eye Care PLLC located?

Elevate Eye Care PLLC is located at 404 E Parkcenter Blvd Ste 170, Boise, ID 83706. The listed phone number is (208) 210-4832.

What is Elevate Eye Care PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Elevate Eye Care PLLC enrolled in Medicare?

Yes. Elevate Eye Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elevate Eye Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Elevate Eye Care PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elevate Eye Care PLLC was last updated on March 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.