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SNAKE RIVER EYE ASSOCIATES OF SHELLEY, PLLC
NPI 1366794299
Optometrist in Shelley, ID

Active since October 02, 2012
357 W FIR ST, SHELLEY, ID 83274(208) 881-5145(208) 881-5146 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Snake River Eye Associates Of Shelley, Pllc NPPES

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

SNAKE RIVER EYE ASSOCIATES OF SHELLEY, PLLC (NPI 1366794299) is a healthcare organization registered as an optometrist in Shelley, Idaho and active in the NPI registry since October 2012. The organization lists Dennis Radford, Owner, as its authorized official.

NPPES Registry Identity

NPI1366794299
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSNAKE RIVER EYE ASSOCIATES OF SHELLEY, PLLC
Location Address357 W FIR STShelley, ID 83274-1456
Mailing AddressPo Box KShelley, ID 83274-0910 · (208) 881-5145 · Fax (208) 881-5146
Phone(208) 881-5145
Fax(208) 881-5146
Organization SubpartNo
Authorized OfficialDennis RadfordOwner · (208) 881-5145
Enumeration DateOctober 2, 2012
Last NPPES UpdateNovember 14, 2025
NPPES CertifiedNovember 14, 2025
✔ NPI 1366794299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
357 W FIR ST, Shelley, ID 83274
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Other Names 2

Doing Business AsSnake River Eye Associates Of Shelley, Pllc
Former Legal Business NameSnake River Eyecare Llc

Other Identifiers 1

Medicaid1366794299ID

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Snake River Eye Associates Of Shelley, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Snake River Eye Associates Of Shelley, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dennis Radford, O.D.
Optometry
NPI 1457461261
357 W FIR ST
Shelley, ID 83274
(208) 881-5145
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Snake River Eye Associates Of Shelley, PLLC's NPI number?

The NPI number for Snake River Eye Associates Of Shelley, PLLC is 1366794299. It was assigned to this organization in the NPPES registry on October 2, 2012. The provider was formerly known as Snake River Eyecare LLC.

Where is Snake River Eye Associates Of Shelley, PLLC located?

Snake River Eye Associates Of Shelley, PLLC is located at 357 W Fir St, Shelley, ID 83274. The listed phone number is (208) 881-5145.

What is Snake River Eye Associates Of Shelley, PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Snake River Eye Associates Of Shelley, PLLC enrolled in Medicare?

Yes. Snake River Eye Associates Of Shelley, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Snake River Eye Associates Of Shelley, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Snake River Eye Associates Of Shelley, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Snake River Eye Associates Of Shelley, PLLC accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Snake River Eye Associates Of Shelley, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Snake River Eye Associates Of Shelley, PLLC was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.