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IDAHO EYE CENTER PA
NPI 1518021849
Ophthalmology in Idaho Falls, ID

Active since December 21, 2006
2025 E 17TH ST, IDAHO FALLS, ID 83404(208) 524-2025(208) 529-1924 Get Directions Write a Review

NPPES record last updated: August 20, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Idaho Eye Center Pa NPPES

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

IDAHO EYE CENTER PA (NPI 1518021849) is a healthcare organization registered as an ophthalmology in Idaho Falls, Idaho and active in the NPI registry since December 2006. The organization lists Bradley P Gardner, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1518021849
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameIDAHO EYE CENTER PA
Location Address2025 E 17TH STIdaho Falls, ID 83404
Mailing Address2025 E 17th StIdaho Falls, ID 83404 · (208) 524-2025 · Fax (208) 529-1924
Phone(208) 524-2025
Fax(208) 529-1924
Organization SubpartYesParent: Idaho Eye Center, Pa
Authorized OfficialBradley P GardnerSenior Vice President · (208) 524-2025
Enumeration DateDecember 21, 2006
Last NPPES UpdateAugust 20, 2008
✔ NPI 1518021849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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.
2025 E 17TH ST, Idaho Falls, ID 83404
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Other Identifiers 9

Other84434ID · Blue Cross
Medicare ID-Type Unspecified10006WY
Other8C626ID · Blue Cross
Medicare ID-Type Unspecified1373829ID
Medicare ID-Type Unspecified1373828ID
Medicare PIN1592851ID
Other8E837ID · Blue Cross
Medicare PIN1592852ID
Other8F876ID · Blue Cross

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 University of Utah Health Plans.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)

Idaho Eye Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Idaho Eye Center PA, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Richard Cannon, MD
Ophthalmology
NPI 1992842264
2025 E 17TH ST
Idaho Falls, ID 83404
(208) 524-2025
✔ PECOS✔ Accepts Medicare0.1 mi
James Davis, OD
Optometry
NPI 1326115395
2025 E 17TH ST
Idaho Falls, ID 83404
(208) 524-2025
✔ PECOS✔ Accepts Medicare0.1 mi
Bradley Gardner, MD
Ophthalmology
NPI 1255408217
2025 E 17TH ST
Idaho Falls, ID 83404
(208) 524-2025
✔ PECOS✔ Accepts Medicare0.1 mi
Spencer Harris, MD
Ophthalmology
NPI 1255892568
2025 E 17TH ST
Idaho Falls, ID 83404
(208) 524-2025
✔ PECOS✔ Accepts Medicare0.1 mi
Eric Romriell, DO
Ophthalmology
NPI 1922072586
2025 E 17TH ST
Idaho Falls, ID 83404
(208) 524-2025
✔ PECOS✔ Accepts Medicare0.1 mi
Shane Wynn, OD
Optometry
NPI 1427125491
2025 E 17TH ST
Idaho Falls, ID 83404
(208) 524-2025
✔ PECOS✔ Accepts Medicare0.1 mi
Gregory Emfield, D.O
Ophthalmology
NPI 1538594379
246 N 18TH AVE
Pocatello, ID 83201
(208) 234-4100
✔ PECOS✔ Accepts Medicare47 mi
Bradley Hansen, M.D.
Ophthalmology
NPI 1114284825
260 TREMONT ST FLOORS 9-11
Boston, MA 02116
(617) 636-4600
✔ PECOS✔ Accepts Medicare2,057 mi
Kurt Hepworth, O.D
Optometry
NPI 1457531428
11506 SOUTH DISTRICT MAIN DR. #400
South Jordan, UT 84095
(801) 495-4833
✔ PECOS✔ Accepts Medicare

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 Idaho Eye Center PA's NPI number?

The NPI number for Idaho Eye Center PA is 1518021849. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Idaho Eye Center PA located?

Idaho Eye Center PA is located at 2025 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 524-2025.

What is Idaho Eye Center PA's specialty?

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

Is Idaho Eye Center PA enrolled in Medicare?

Yes. Idaho Eye Center PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idaho Eye Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Idaho Eye Center PA. 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. The largest specialties are Ophthalmology (6) and Optometry (3). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Idaho Eye Center PA accept?

Health plans from University of Utah Health Plans list Idaho Eye Center PA 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 Idaho Eye Center PA was last updated on August 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.