Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jamie Nicole Rodriguez, OD

Individual provider Optometrist · NPI 1649688078

Dr. Jamie Nicole Rodriguez, OD is an Optometry in Boise, Idaho. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho, Oklahoma and Washington.

Years since qualifying
12
Licensed in
ID, OK, WA
In the registry since
2014
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

404 E Parkcenter Blvd Ste 170
Boise, ID 83706-7564
Phone: (208) 210-4832
Fax: (208) 210-4833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-100527 (ID)
Optometrist Taxonomy 152W00000X · Licence 2825 (OK)
Optometrist Taxonomy 152W00000X · Licence 60892989 (WA)

Record details

NPI number1649688078
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 29, 2014
Last updated in NPPESMarch 10, 2023
Certification dateMarch 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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