EYECARE SPECIALTIES OF IDAHO PC
NPI 1417848037
Optometrist in Preston, ID

Q: What is Eyecare Specialties Of Idaho PC's NPI number?

The NPI number for Eyecare Specialties Of Idaho PC is 1417848037. It was assigned to this organization in the NPPES registry on July 11, 2025.

Q: What is Eyecare Specialties Of Idaho PC's specialty?

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

Active since July 11, 2025

134 N STATE ST, PRESTON, ID 83263(618) 462-9818 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Eyecare Specialties Of Idaho Pc NPPES

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

EYECARE SPECIALTIES OF IDAHO PC (NPI 1417848037) is a healthcare organization registered as an optometrist in Preston, Idaho and active in the NPI registry since July 2025. The organization lists Melissa Allison, Sr. Director Managed Vision Care, as its authorized official.

NPPES Registry Identity

NPI1417848037

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameEYECARE SPECIALTIES OF IDAHO PC

Location Address134 N STATE STPreston, ID 83263-1143

Mailing Address111 E 4th St Ste 440Alton, IL 62002-6206 · (618) 462-9818

Phone(618) 462-9818

Organization SubpartNo

Authorized OfficialMelissa AllisonSr. Director Managed Vision Care · (618) 604-5208

Enumeration DateJuly 11, 2025

NPPES CertifiedJuly 11, 2025

✔ NPI 1417848037 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.

134 N STATE ST, Preston, ID 83263

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Eyecare Specialties Of Idaho Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Eyecare Specialties Of Idaho PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Lance Henderson

Optometry

NPI 1225186398

134 N STATE ST
Preston, ID 83263

(208) 852-3030

✔ PECOS✔ Accepts Medicare0.4 mi

Jeffrey Cromwell, O.D.

Optometry

NPI 1801902333

1300 N 200 E SUITE 104
Logan, UT 84341

(435) 752-6453

✔ PECOS✔ Accepts Medicare22 mi

Callin Passey, OD

Optometry

NPI 1508020363

517 W 100 N STE 110
Providence, UT 84332

(435) 755-6075

✔ PECOS✔ Accepts Medicare27 mi

Tyrell Yardley, OD

Optometry

NPI 1578269767

4360 WASHINGTON BLVD
Ogden, UT 84403

(801) 476-0949

✔ PECOS✔ Accepts Medicare63 mi

Ana Nielson, OD

Optometry

NPI 1972547503

1715 S WELLS AVE
Meridian, ID 83642

(208) 898-0304

✔ PECOS✔ Accepts Medicare250 mi

Ryan Nielson, OD

Optometry

NPI 1538103148

1715 S WELLS AVE
Meridian, ID 83642

(208) 898-0304

✔ PECOS✔ Accepts Medicare250 mi

Renee Rowley, O.D.

Optometry

NPI 1003299256

1715 S WELLS AVE STE 100
Meridian, ID 83642

(208) 898-0304

✔ PECOS✔ Accepts Medicare250 mi

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 Eyecare Specialties Of Idaho PC's NPI number?

The NPI number for Eyecare Specialties Of Idaho PC is 1417848037. It was assigned to this organization in the NPPES registry on July 11, 2025.

Where is Eyecare Specialties Of Idaho PC located?

Eyecare Specialties Of Idaho PC is located at 134 N State St, Preston, ID 83263. The listed phone number is (618) 462-9818.

What is Eyecare Specialties Of Idaho PC's specialty?

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

Is Eyecare Specialties Of Idaho PC enrolled in Medicare?

Yes. Eyecare Specialties Of Idaho PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eyecare Specialties Of Idaho PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to Eyecare Specialties Of Idaho PC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eyecare Specialties Of Idaho PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Eyecare Specialties Of Idaho PC 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 Eyecare Specialties Of Idaho PC was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.