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EYEDAHO OPTOMETRIC LLC
NPI 1396361358
Clinic/Center in Idaho Falls, ID

Active since June 24, 2020
500 S UTAH AVE, IDAHO FALLS, ID 83402(208) 709-5371 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eyedaho Optometric Llc NPPES

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

EYEDAHO OPTOMETRIC LLC (NPI 1396361358) is a healthcare organization registered as a clinic/center in Idaho Falls, Idaho and active in the NPI registry since June 2020. The organization lists Trevor Dickson, Owner, as its authorized official.

NPPES Registry Identity

NPI1396361358
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEYEDAHO OPTOMETRIC LLC
Location Address500 S UTAH AVEIdaho Falls, ID 83402-3305
Mailing Address2951 Stonewood CirAmmon, ID 83406-8123 · (208) 709-5371
Phone(208) 709-5371
Organization SubpartNo
Authorized OfficialTrevor DicksonOwner · (208) 709-5371
Enumeration DateJune 24, 2020
NPPES CertifiedJune 24, 2020
✔ NPI 1396361358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
500 S UTAH AVE, Idaho Falls, ID 83402
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Other Providers at the Same Location NPPES 11

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

LEILI IZADI
Pharmacist
500 S UTAH AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 552-6169
DR. GOLDEN THANE SMITH O.D.
Optometrist
500 S UTAH AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 528-8643
WALMART INC.
Pharmacy (Community/Retail Pharmacy)
500 S UTAH AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 528-8703
EYEDAHO OPTOMETRIC LLC
Optometrist
500 S UTAH AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 528-8643
DR. JENNIFER ANNE GUNTER PHARMD
Pharmacist
500 S UTAH AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 528-8703
BRIAN CHRISTENSON
Pharmacist
500 S UTAH AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 528-8703
WAL-MART STORES, INC
Eyewear Supplier
500 S UTAH AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 528-8735
JOE HOLLAND
Pharmacist
500 S UTAH AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 528-8703

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 Eyedaho Optometric LLC's NPI number?

The NPI number for Eyedaho Optometric LLC is 1396361358. It was assigned to this organization in the NPPES registry on June 24, 2020.

Where is Eyedaho Optometric LLC located?

Eyedaho Optometric LLC is located at 500 S Utah Ave, Idaho Falls, ID 83402. The listed phone number is (208) 709-5371.

What is Eyedaho Optometric LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Eyedaho Optometric LLC was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.