ADVANCED EYECARE OF BLACKFOOT PLLC
NPI 1568610574
Optometrist in Blackfoot, ID

Q: What is Advanced Eyecare Of Blackfoot PLLC's NPI number?

The NPI number for Advanced Eyecare Of Blackfoot PLLC is 1568610574. It was assigned to this organization in the NPPES registry on September 3, 2008.

Q: What is Advanced Eyecare Of Blackfoot PLLC's specialty?

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

Active since September 03, 2008CLIA 13D2289888 · Waiver

1213 PARKWAY DR, BLACKFOOT, ID 83221(208) 782-3426(208) 782-3436 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Advanced Eyecare Of Blackfoot Pllc NPPES

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

ADVANCED EYECARE OF BLACKFOOT PLLC (NPI 1568610574) is a healthcare organization registered as an optometrist in Blackfoot, Idaho and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Jerry Carlson, Doctor, as its authorized official.

NPPES Registry Identity

NPI1568610574

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameADVANCED EYECARE OF BLACKFOOT PLLC

Location Address1213 PARKWAY DRBlackfoot, ID 83221-1654

Mailing Address1213 Parkway DrBlackfoot, ID 83221-1654 · (208) 782-3426 · Fax (208) 782-3436

Phone(208) 782-3426

Fax(208) 782-3436

Organization SubpartNo

Authorized OfficialJerry CarlsonDoctor · (208) 528-6900

Enumeration DateSeptember 3, 2008

Last NPPES UpdateJuly 31, 2015

✔ NPI 1568610574 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.

1213 PARKWAY DR, Blackfoot, ID 83221

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Other Identifiers 1

Medicare UPIN1370132ID

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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 13D2289888

Advanced Eyecare Of Blackfoot · Blackfoot, ID

Active · expires Sep 17, 2027

CLIA Number13D2289888

Laboratory TypePhysician Office

Certificate Effective DateSeptember 18, 2025

Certificate Expiration DateSeptember 17, 2027

Laboratory DirectorJason N. Hurley

Laboratory Phone(208) 782-3422

Laboratory LocationAdvanced Eyecare Of Blackfoot593 W Bridge St, Blackfoot, ID 83221

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Eyecare Of Blackfoot PLLC's NPI number?

The NPI number for Advanced Eyecare Of Blackfoot PLLC is 1568610574. It was assigned to this organization in the NPPES registry on September 3, 2008.

Where is Advanced Eyecare Of Blackfoot PLLC located?

Advanced Eyecare Of Blackfoot PLLC is located at 1213 Parkway Dr, Blackfoot, ID 83221. The listed phone number is (208) 782-3426.

What is Advanced Eyecare Of Blackfoot PLLC's specialty?

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

Does Advanced Eyecare Of Blackfoot PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2289888) is associated with this NPI, valid through September 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Eyecare Of Blackfoot PLLC accept?

Health plans from BlueCross BlueShield of Tennessee list Advanced Eyecare Of Blackfoot PLLC 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 Advanced Eyecare Of Blackfoot PLLC was last updated on July 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.