Provider Type Icon

DR. KEVIN MCELROY OD PA NPI 1528154242


NPI Information

NPI: 1528154242
Provider Name: DR. KEVIN MCELROY, OD, PA
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
50 E CARMEL DR
MERIDIAN, ID
ZIP 83646
Phone: (208) 888-5252
Get Directions

DR. Kevin Mcelroy, OD, PA is an optometrist in Meridian, ID. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Kevin Mcelroy, OD, PA NPI is 1528154242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

50 E CARMEL DR
MERIDIAN, ID
ZIP 83646-301
Phone: (208) 888-5252
Fax: (208) 884-4280

The NPI 1528154242 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/4/2006 and was last updated on 2/25/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristODP653IDAHOYes
2152WC0802XOptometristCorneal and Contact ManagementODP653IDAHONo
3152WP0200XOptometristPediatricsODP653IDAHONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1203926185OTHEREIN
2721912OTHERPENNSYLVANIABLUE SHIELD
3V7169OTHERIDAHOBLUE CROSS / TRUE BLUE
4003410000MEDICAIDIDAHO
582304OTHERIDAHOBLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.