MAPLE GROVE SURGICAL LLC
NPI 1417675737
Clinic/Center - Ambulatory Surgical in Boise, ID

Active since August 22, 2022
8955 W HACKAMORE DR, BOISE, ID 83709(208) 344-7944 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2023, Jan 24, 2023, Aug 22, 2022 (3 updates tracked since 2022).

About Maple Grove Surgical Llc NPPES

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

MAPLE GROVE SURGICAL LLC (NPI 1417675737) is a healthcare organization registered as an ambulatory surgical in Boise, Idaho and active in the NPI registry since August 2022. The organization lists Matthew Neale, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1417675737
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMAPLE GROVE SURGICAL LLC
Location Address8955 W HACKAMORE DRBoise, ID 83709-1673
Mailing Address8955 W Hackamore DrBoise, ID 83709-1673 · (208) 344-7944
Organization SubpartNo
Authorized OfficialMatthew NealeMedical Director · (204) 344-7944
Enumeration DateAugust 22, 2022
Last NPPES UpdateFebruary 2, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2024
NPI 1417675737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedClinic/Center · Ophthalmologic SurgeryTaxonomy 261QS0132X
8955 W HACKAMORE DR, Boise, ID 83709

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Maple Grove Eyecare PC carries, from the Medicare DMEPOS supplier directory.

Maple Grove Eyecare PC

DMEPOS supplier · Boise, ID

Accepts Medicare assignment

Maple Grove Eyecare PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20420435
Medicare Participant SinceJuly 24, 2019
Supplier Location8955 W Hackamore DrBoise, ID 83709
Provider TypePhysician – General Surgery
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

Ophthalmology
8955 W HACKAMORE DR
BOISE, ID 83709
Ophthalmology
8955 W HACKAMORE DR
BOISE, ID 83709
Optometrist
8955 W HACKAMORE DR
BOISE, ID 83709
Ophthalmology
8955 W HACKAMORE DR
BOISE, ID 83709
Ophthalmology
8955 W HACKAMORE DR
BOISE, ID 83709

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 Surgical LLC's NPI number?

The NPI number for Maple Grove Surgical LLC is 1417675737. It was assigned to this organization in the NPPES registry on August 22, 2022.

Where is Maple Grove Surgical LLC located?

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

What is Maple Grove Surgical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Maple Grove Surgical LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Maple Grove Eyecare PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Maple Grove Surgical LLC was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.