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DR. TREVOR H DICKSON OD
NPI 1588280176
Optometrist in Idaho Falls, ID

Active since June 19, 2020PECOS Enrolled
500 S UTAH AVE, IDAHO FALLS, ID 83402(208) 709-5371 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Trevor H Dickson Od NPPES

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

DR. TREVOR H DICKSON OD (NPI 1588280176) is an individual optometrist in Idaho Falls, Idaho, licensed in Idaho (100510) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588280176
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TREVOR H DICKSONCredential: OD
Location Address500 S UTAH AVEIdaho Falls, ID 83402-3305
Mailing Address500 S Utah AveIdaho Falls, ID 83402-3305 · (208) 709-5371
Phone(208) 709-5371
Sole ProprietorYes
Enumeration DateJune 19, 2020
NPPES CertifiedJune 19, 2020
✔ NPI 1588280176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ID · 100510
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.
500 S UTAH AVE, Idaho Falls, ID 83402
Open in Google Maps ↗

Other Identifiers 1

Other100510ID · Idaho Optometry License

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, BlueCross BlueShield of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Trevor H Dickson Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Trevor Dickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eyedaho Optometric LLC
Same address
Optometrist
500 S UTAH AVE
Idaho Falls, ID 83402
  • Reassigned Medicare billing, Idaho enrollment
NPI 1417627480 (208) 528-8643

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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
Clinic/Center
500 S UTAH AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 709-5371
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

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 Trevor Dickson's NPI number?

The NPI number for Trevor Dickson is 1588280176. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Where is Trevor Dickson located?

Trevor Dickson practices at 500 S Utah Ave, Idaho Falls, ID 83402. The listed phone number is (208) 709-5371.

What is Trevor Dickson's specialty?

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

Is Trevor Dickson enrolled in Medicare?

Yes. Trevor Dickson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Trevor Dickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Trevor Dickson reassigns Medicare benefits to Eyedaho Optometric LLC (Idaho Falls, ID). The 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 Trevor Dickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Trevor Dickson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BlueCross BlueShield of Tennessee and Select Health list Trevor Dickson 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 Trevor Dickson was last updated on June 19, 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.