DR. KEVIN MCELROY (NPI# 1528154242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528154242 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MCELROY |
| Credential | OD, PA |
| Practice Address |
50 E Carmel Dr Meridian ID 83646-3301 |
| Practice Telephone | 2088885252 |
| Practice Fax Number | 2088844280 |
| Mailing Telephone | 2088885252 |
| Mailing Fax Number | 2088844280 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODP653 | ID | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
ODP653 | ID | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
ODP653 | ID | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD | 721912 | 01 |
| ID | BLUE CROSS / TRUE BLUE | V7169 | 01 |
| ID | 003410000 | 05 | |
| ID | BLUE SHIELD | 82304 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013228386 | Kevin Mcelroy | Physical Medicine & Rehabilitation | 48 S Franklin Tpke, Suite 101, Ramsey, NJ 07446-2558 | 2010-07-01 |
| 1003449364 | Kevin Mcelroy | Behavioral Analyst | 8805 W 14th Ave Ste 100, Lakewood, CO 80215-4848 | 2020-02-14 |
| 1184151110 | Kevin Mcelroy | Radiology | 200 1st St Sw, Rochester, MN 55905 | 2017-05-22 |
| 1609191493 | Kevin Patrick Mcelroy | Anesthesiology | 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4527 | 2010-04-05 |
| 1467654970 | Kevin C Mcelroy | Physical Therapist | 3344 N Futrall Dr, Fayetteville, AR 72703 | 2007-06-05 |
| Street Address |
50 E CARMEL DR |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83646-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358459 | Dr. John A Hogg, Od Pllc | Optometrist | 50 E Carmel Dr, Meridian, ID 83646-3301 | 2019-10-17 |
| 1215054291 | Dr. Kevin Mcelroy, Od Pa | Optometrist | 50 E Carmel Dr, Meridian, ID 83646-3301 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202743 | Jayson Paul Smith | Nurse Practitioner | 1545 East Leighfield Dr., Meridian, ID 83646 | 2020-10-14 |
| 1356977466 | Tanabell Health Services Inc | Assisted Living Facility | 2584 E Magic View Dr, Meridian, ID 83646 | 2020-03-20 |
| 1801351176 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 2656 E Magicview Dr, Meridian, ID 83646 | 2019-01-31 |
| 1306314323 | Cr Smiles - Meridian Dental Care LLC | Clinic/Center | 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 | 2018-11-07 |
| 1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
| 1275015950 | Mcmillan Family Dental Pllc | Clinic/Center | 1720 W. Mcmillan, Meridian, ID 83646 | 2018-08-30 |
| 1609327022 | Finding Home Healthcare, Inc. | Clinic/Center | 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 | 2016-10-20 |
| 1952857161 | Mitchell Truong | Pharmacist | 622 E. Ustick Road, Caldwell, ID 83646 | 2016-08-28 |
| 1134511264 | Brittany Laub | Massage Therapist | 2572 N Stokesberry Pl #300, Meridian, ID 83646 | 2015-02-26 |
| 1194117366 | Westfall Ventures, Inc | Health Maintenance Organization | 2572 N. Stokesberry Pl, Meridian, ID 83646 | 2015-02-25 |
| Find all providers in zip 83646 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252609 | Primary Eyecare South LLC | Optometrist | 1217 S Frontage Rd Ste E, Meridian, MS 39301-6124 | 2020-07-22 |
| 1538792551 | Eyes On Meridian LLC | Optometrist | 119 E Calderwood Dr, Meridian, ID 83642-7482 | 2020-02-18 |
| 1952703209 | Reservoir Eye Care Clinic Pllc | Optometrist | 536 Lindley Rd, Meridian, MS 39305-2301 | 2014-09-18 |
| 1881011526 | Meridian Eye Care, LLC | Optometrist | 5002 Highway 39 N Bldg B, Meridian, MS 39301-1078 | 2014-03-19 |
| 1073814737 | Carter Vision Care, Pllc | Optometrist | 1157 E Puffin St, Meridian, ID 83642-7444 | 2010-11-11 |
| 1265749493 | William Paul Schilling | Optometrist | 795 W Overland Rd, Meridian, ID 83642 | 2010-09-09 |
| 1376705293 | Luke A Randall | Optometrist | 1540 W Cayuse Creek Dr, Meridian, ID 83646-4795 | 2008-07-01 |
| 1578757076 | Primary Eyecare & Optical of Meridian, P.a. | Optometrist | 4721 26th Ave., Meridian, MS 39305 | 2007-08-29 |
| 1770776353 | Melissa Ann Fowler | Optometrist | 1715 S Wells Ave # 100, Meridian, ID 83642-5066 | 2007-08-27 |
| 1316013691 | The Eye Associates, P.a. | Optometrist | 2620 S Eagle Rd, Meridian, ID 83642-6704 | 2006-11-28 |
| Find all providers in MERIDIAN | ||||
Please comment or provide details below to improve the information on DR. KEVIN MCELROY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.