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Elevate Eye Care, PLLC

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Company Details

Name: Elevate Eye Care, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 Jan 2023 (3 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 5056355
Place of Formation: IDAHO
File Number: 857067
ZIP code: 83706
County: Ada County
Principal Address: STE 170 404 E PARKCENCTER BLVD BOISE, ID 83706
Mailing Address: STE 170 404 E PARKCENTER BLVD BOISE, ID 83706

Manager

Name Role Address Appointed On
Jamie Rodriguez Manager 3340 N. LAKEHARBOR LANE, BOISE, ID 83703 2024-01-03
Jamie N Rodriguez Manager 1853 S KAMIAH LN, BOISE, ID 83705 2024-12-04

Agent

Name Role Address
Jamie Rodriguez Agent 1853 S KAMIAH LN, BOISE, ID 83705

National Provider Identifier

NPI Number:
1124729835
Certification Date:
2023-03-10

Authorized Person:

Name:
JAMIE N RODRIGUEZ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
2082104833

Filing

Filing Name Filing Number Filing date
Annual Report 0006006699 2024-12-04
Annual Report 0005540177 2024-01-03
Amendment to Certificate 0005525362 2023-12-22
Initial Filing 0005056355 2023-01-06

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Date of last update: 10 Jul 2025

Sources: Idaho Secretary of State