Maple Grove Eyecare PC
NPI 1124684485ActiveOrganization· Ophthalmology· Boise, ID
Ophthalmology in Boise, Idaho, registered in NPPES in May 2019. The authorized official on file is Matthew D. Neale, MD, Practice Owner/Ophthalmologist. Enrolled in Medicare as dme supplier - physician - general surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1124684485 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 13, 2019 |
| Last updated in NPPES | May 13, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - General Surgery (ID); Part B Supplier - Clinic/Group Practice (ID) |
|---|
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