GEM STATE FAMILY EYECARE, P.C.
NPI 1154690923
Optometrist in Boise, ID

Q: What is Gem State Family Eyecare, P.C.'s NPI number?

The NPI number for Gem State Family Eyecare, P.C. is 1154690923. It was assigned to this organization in the NPPES registry on December 22, 2011.

Q: What is Gem State Family Eyecare, P.C.'s specialty?

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

Active since December 22, 2011

3815 W STATE ST, BOISE, ID 83703(208) 345-6886(208) 345-6686 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Gem State Family Eyecare, P.c. NPPES

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

GEM STATE FAMILY EYECARE, P.C. (NPI 1154690923) is a healthcare organization registered as an optometrist in Boise, Idaho and active in the NPI registry since December 2011. The organization lists Jennifer Marie Holman, President, as its authorized official.

NPPES Registry Identity

NPI1154690923

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameGEM STATE FAMILY EYECARE, P.C.

Location Address3815 W STATE STBoise, ID 83703-5221

Mailing Address3815 W State StBoise, ID 83703-5221 · (208) 345-6886 · Fax (208) 345-6686

Phone(208) 345-6886

Fax(208) 345-6686

Organization SubpartNo

Authorized OfficialJennifer Marie HolmanPresident · (208) 345-6886

Enumeration DateDecember 22, 2011

✔ NPI 1154690923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in ID · ODP-100213

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.

3815 W STATE ST, Boise, ID 83703

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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gem State Family Eyecare, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gem State Family Eyecare, P.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Marisa Brown, ODP

Optometry

NPI 1992321327

11513 W FAIRVIEW AVE STE 106
Boise, ID 83713

(208) 322-8439

✔ PECOS✔ Accepts Medicare4.7 mi

Jennifer Drean, O.D.

Optometry

NPI 1417262767

11513 W FAIRVIEW AVE STE 106
Boise, ID 83713

(208) 322-8439

✔ PECOS✔ Accepts Medicare4.7 mi

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 Gem State Family Eyecare, P.C.'s NPI number?

The NPI number for Gem State Family Eyecare, P.C. is 1154690923. It was assigned to this organization in the NPPES registry on December 22, 2011.

Where is Gem State Family Eyecare, P.C. located?

Gem State Family Eyecare, P.C. is located at 3815 W State St, Boise, ID 83703. The listed phone number is (208) 345-6886.

What is Gem State Family Eyecare, P.C.'s specialty?

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

Is Gem State Family Eyecare, P.C. enrolled in Medicare?

Yes. Gem State Family Eyecare, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gem State Family Eyecare, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Gem State Family Eyecare, P.C.. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gem State Family Eyecare, P.C. accept?

Health plans from Molina Healthcare list Gem State Family Eyecare, P.C. 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 Gem State Family Eyecare, P.C. was last updated on December 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.