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

Active since December 21, 2006CLIA Certified · 3 labs
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: July 26, 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 holds 3 active CLIA laboratory certificates and 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
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

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

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D0690821

Idaho Eye And Laser Center · Idaho Falls, ID
Active · expires Aug 31, 2026
CLIA Number13D0690821
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTaylor A. Cox
Laboratory Phone(208) 524-2025
Laboratory LocationIdaho Eye And Laser Center2025 E 17th St, Idaho Falls, ID 83404
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D1090398

Idaho Eye And Laser Center · Rexburg, ID
Active · expires Oct 8, 2026
CLIA Number13D1090398
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorTaylor A. Cox
Laboratory Phone(208) 524-2025
Laboratory LocationIdaho Eye And Laser Center491 First American Cr, Rexburg, ID 83440
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D0951611

Idaho Eye And Laser Center · Pocatello, ID
Active · expires Sep 22, 2026
CLIA Number13D0951611
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorTaylor A. Cox
Laboratory Phone(208) 524-2025
Laboratory LocationIdaho Eye And Laser Center1157 Call Pl, Pocatello, ID 83201
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Ophthalmology
2025 E 17TH ST
IDAHO FALLS, ID 83404
Clinic/Center (Ambulatory Surgical)
2025 E 17TH ST
IDAHO FALLS, ID 83404
Optometrist
2025 E 17TH ST
IDAHO FALLS, ID 83404
Optometrist
2025 E 17TH ST
IDAHO FALLS, ID 83404
Ophthalmology
2025 E 17TH ST
IDAHO FALLS, ID 83404
Ophthalmology
2025 E 17TH ST
IDAHO FALLS, ID 83404
Ophthalmology
2025 E 17TH ST
IDAHO FALLS, ID 83404
Ophthalmology (Cornea and External Diseases Specialist)
2025 E 17TH ST
IDAHO FALLS, ID 83404

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.

Does Idaho Eye Center PA hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 with the weekly NPPES data releases published by CMS.