Gem State Family Eyecare, P.C.
NPI 1154690923ActiveOrganization· Optometrist· Boise, ID
Optometrist in Boise, Idaho, registered in NPPES in December 2011. The authorized official on file is Jennifer Marie Holman, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154690923 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 22, 2011 |
| Last updated in NPPES | Dec 22, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | ODP-100213 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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