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RETINA SPECIALISTS OF IDAHO, PLLC
NPI 1366607996
Ophthalmology in Boise, ID

Active since July 23, 2008
13923 W WAINWRIGHT DR, SUITE 301, BOISE, ID 83713(208) 938-5624(208) 938-5764 Get Directions Write a Review

NPPES record last updated: April 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Retina Specialists Of Idaho, Pllc NPPES

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

RETINA SPECIALISTS OF IDAHO, PLLC (NPI 1366607996) is a healthcare organization registered as an ophthalmology in Boise, Idaho and active in the NPI registry since July 2008. The organization lists Denton R. Roberts, Owner, as its authorized official.

NPPES Registry Identity

NPI1366607996
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRETINA SPECIALISTS OF IDAHO, PLLC
Location Address13923 W WAINWRIGHT DR, SUITE 301Boise, ID 83713-1969
Mailing Address13923 W Wainwright Dr, Suite 301Boise, ID 83713-1969 · (208) 398-5624 · Fax (208) 938-5764
Phone(208) 938-5624
Fax(208) 938-5764
Organization SubpartNo
Authorized OfficialDenton R. RobertsOwner · (208) 938-5624
Enumeration DateJuly 23, 2008
Last NPPES UpdateApril 10, 2012
✔ NPI 1366607996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in ID · M-10066
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.
13923 W WAINWRIGHT DR, Boise, ID 83713
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Other Identifiers 3

Medicare PIN11003411ID
Medicare UPINH90320
Medicaid808025900ID

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 2

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

DENTON R ROBERTS MD
Ophthalmology
13923 W WAINWRIGHT DR, SUITE 301
BOISE, ID 83713
Ada County (208) 938-5624
RETINA SPECIALISTS OF IDAHO PARTNERS, PLLC
Ophthalmology (Retina Specialist)
13923 W WAINWRIGHT DR, SUITE 301
BOISE, ID 83713
Ada County (208) 938-5624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Retina Specialists Of Idaho, PLLC's NPI number?

The NPI number for Retina Specialists Of Idaho, PLLC is 1366607996. It was assigned to this organization in the NPPES registry on July 23, 2008.

Where is Retina Specialists Of Idaho, PLLC located?

Retina Specialists Of Idaho, PLLC is located at 13923 W Wainwright Dr Suite 301, Boise, ID 83713. The listed phone number is (208) 938-5624.

What is Retina Specialists Of Idaho, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Retina Specialists Of Idaho, PLLC was last updated on April 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.