SearchIdaho152W00000X

Jamie Rodriguez, O.D

NPI 1649688078 · on the registry since 2014 · sole proprietor

Practice

Address
404 E Parkcenter Blvd Ste 170
Boise, ID 83706
Phone
(208) 210-4832
Fax
(208) 210-4833
Organisation at this address
Elevate Eye Care Pllc
Convergence Chiropractic Company
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152W00000X
152W00000X
Licence states on file
OK, WA, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho