EYE CLINIC OF IDAHO FALLS,PA
NPI 1093911133
Ophthalmology in Idaho Falls, ID

Q: What is Eye Clinic Of Idaho Falls,pa's NPI number?

The NPI number for Eye Clinic Of Idaho Falls,pa is 1093911133. It was assigned to this organization in the NPPES registry on June 25, 2007.

Q: What is Eye Clinic Of Idaho Falls,pa's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since June 25, 2007

530 S HOLMES AVE, IDAHO FALLS, ID 83401(208) 529-3937(208) 524-4380 Get Directions Write a Review

NPPES record last updated: September 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Eye Clinic Of Idaho Falls,pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE CLINIC OF IDAHO FALLS,PA (NPI 1093911133) is a healthcare organization registered as an ophthalmology in Idaho Falls, Idaho and active in the NPI registry since June 2007. The organization lists David R Anderson, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1093911133

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameEYE CLINIC OF IDAHO FALLS,PA

Location Address530 S HOLMES AVEIdaho Falls, ID 83401-4751

Mailing AddressPo Box 2410Idaho Falls, ID 83403-2410 · (208) 529-3937 · Fax (208) 524-4380

Phone(208) 529-3937

Fax(208) 524-4380

Organization SubpartNo

Authorized OfficialDavid R AndersonMedical Director · (208) 529-3937

Enumeration DateJune 25, 2007

Last NPPES UpdateSeptember 15, 2011

✔ NPI 1093911133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in ID · M3793

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

530 S HOLMES AVE, Idaho Falls, ID 83401

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Other Identifiers 7

Other1205974136ID · Individual Npi

Medicare PIN1371224ID

Medicare UPINE07053ID

Medicaid00240930ID

Medicaid003572200ID

Medicare NSC0526460001ID

Medicare PIN1112596ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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