Organization
ELEVATE EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE N RODRIGUEZ OD (OWNER)
(405) 246-5062
Entity
Organization
Contact information
Practice address
404 E PARKCENTER BLVD STE 170, BOISE, ID 83706-7564
(208) 210-4832
(208) 210-4833
Mailing address
404 E PARKCENTER BLVD STE 170, BOISE, ID 83706-7564
(208) 210-4832
(208) 210-4833
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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