JEFFREY C. JOHNSON (NPI# 1568632941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568632941 |
| Entity Type | Organization |
| Organization Name | JEFFREY C. JOHNSON |
| Practice Address |
7960 W Rifleman Street Suite 150 Boise ID 83704 |
| Practice Telephone | 2083778899 |
| Practice Fax Number | 2083211952 |
| Mailing Telephone | 2083778899 |
| Mailing Fax Number | 2083211952 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2018-04-04 |
| Authorized Official Name | JEFFREY C JOHNSON (MANAGER) |
| Authorized Official Telephone | 2083778899 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODP843 | ID | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | MEDICARE GROUP ID# | 1378685 | 01 |
| ID | 1568632941 | 05 |
| Street Address |
7960 W RIFLEMAN STREET SUITE 150 |
| City | BOISE |
| State | ID |
| Zip Code | 83704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| 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 |
|---|---|---|---|---|
| 1215536362 | Daniel & Max, LLC | Optometrist | 1405 N Milwaukee St, Boise, ID 83704-8400 | 2020-10-20 |
| 1326669920 | Clear Eyes Optometric Care, Pllc | Optometrist | 7950 Horseshoe Bend Rd Ste 101, Boise, ID 83714-3809 | 2020-05-05 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1811388796 | Barber Town Eye Care | Optometrist | 3132 S Bown Way, Boise, ID 83706-5400 | 2015-02-12 |
| 1255742532 | Tiffany Risner | Optometrist | 610 S Americana Blvd, Boise, ID 83702-6731 | 2014-05-08 |
| 1154690923 | Gem State Family Eyecare, P.C. | Optometrist | 3815 W State St, Boise, ID 83703-5221 | 2011-12-22 |
| 1750678298 | Wendell Fackrell | Optometrist | 421 N. Cole Rd. Ste 102, Boise, ID 83704 | 2011-07-05 |
| 1972813855 | Dylan L Hatfield | Optometrist | 360 E. Mallard Dr. Ste 110, Hollingshead Eye Center, Boise, ID 83706-3945 | 2010-10-13 |
| 1043521941 | Nessa Livingston | Optometrist | 7960 W Rifleman St Ste 150, Boise, ID 83704-9065 | 2010-06-24 |
| Find all providers in BOISE | ||||
Please comment or provide details below to improve the information on JEFFREY C. JOHNSON.
| 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.