ADA COUNTY EYECARE, P.C. – NPI #1619185485
Optometrist

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

ADA COUNTY EYECARE, P.C. is an optometrist located in BOISE, ID. NPPES has assigned the NPI number 1619185485 to ADA COUNTY EYECARE, P.C. on May 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 152WC0802X from the Health Care Provider Taxonomy code set, which is classified as Optometrist, specializing in Corneal and Contact Management

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADA COUNTY EYECARE, P.C. below.

NPI Profile for
ADA COUNTY EYECARE, P.C.

NPI Number
1619185485
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADA COUNTY EYECARE, P.C.
Primary location
2069 E FELDSPAR CT
BOISE, ID 83712-8456
Phone: (208) 869-1965 Fax: (208) 345-1137
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVEN POLATIS
PRESIDENT
Phone: (208) 869-1965
Updated
Identifiers

Identifiers for ADA COUNTY EYECARE, P.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidID804046000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
152WC0802X
- Optometrist / Corneal and Contact Management (Primary)
ID ODP-900

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.