Advanced Eyecare of Blackfoot PLLC
NPI 1568610574 · Optometrist · Blackfoot, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Eyecare of Blackfoot PLLC is a Optometrist organization in Blackfoot, ID (NPI 1568610574).
Provider details
- NPI number
- 1568610574
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jerry Carlson, Doctor(208) 528-6900
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-09-03
- Last updated
- 2015-07-31
Frequently asked questions
- What is Advanced Eyecare of Blackfoot PLLC's NPI number?
- Advanced Eyecare of Blackfoot PLLC's National Provider Identifier (NPI) is 1568610574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Eyecare of Blackfoot PLLC?
- Advanced Eyecare of Blackfoot PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Advanced Eyecare of Blackfoot PLLC located?
- Advanced Eyecare of Blackfoot PLLC's practice location on file with NPPES is 1213 Parkway Dr, Blackfoot, ID 83221-1654.
- What is Advanced Eyecare of Blackfoot PLLC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Eyecare of Blackfoot PLLC is (208) 782-3426.
- Does Advanced Eyecare of Blackfoot PLLC accept Medicare?
- Advanced Eyecare of Blackfoot PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advanced Eyecare of Blackfoot PLLC?
- The authorized official listed on Advanced Eyecare of Blackfoot PLLC's NPPES record is Jerry Carlson, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Eyecare of Blackfoot PLLC's NPI active?
- Yes — Advanced Eyecare of Blackfoot PLLC's NPI (1568610574) is active in the NPPES registry as of the last update on 2015-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.