Artisan Pediatric Eyecare LLC
NPI 1487128823ActiveOrganization· Optometrist, Pediatrics· Boise, ID
Optometrist, Pediatrics in Boise, Idaho, registered in NPPES in January 2019. The authorized official on file is Jeffrey C. Johnson, OD, Manager.
Overview
| NPI | 1487128823 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2019 |
| Last updated in NPPES | Jan 18, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist, Pediatrics Primary | 152WP0200X | — | — |
| Optometrist, Sports Vision | 152WS0006X | — | — |
| Optometrist, Vision Therapy | 152WV0400X | — | — |
| Optometrist, Occupational Vision | 152WX0102X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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