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PREMIER EYE CARE OF EASTERN IDAHO
NPI 1790052603
Ophthalmology in Idaho Falls, ID

Active since November 20, 2011
2100 PROVIDENCE WAY, IDAHO FALLS, ID 83404(208) 529-6600(208) 529-6602 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 12, 2026, Jul 23, 2018 (2 updates tracked since 2018).

About Premier Eye Care Of Eastern Idaho NPPES

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

PREMIER EYE CARE OF EASTERN IDAHO (NPI 1790052603) is a healthcare organization registered as an ophthalmology in Idaho Falls, Idaho and active in the NPI registry since November 2011. The organization lists Matthew P Traynor, Owner, as its authorized official.

NPPES Registry Identity

NPI1790052603
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NamePREMIER EYE CARE OF EASTERN IDAHO
Location Address2100 PROVIDENCE WAYIdaho Falls, ID 83404
Mailing Address2100 Providence WayIdaho Falls, ID 83404-4951 · (208) 529-6600 · Fax (208) 529-6602
Phone(208) 529-6600
Fax(208) 529-6602
Organization SubpartNo
Authorized OfficialMatthew P TraynorOwner · (208) 529-6600
Enumeration DateNovember 20, 2011
Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1790052603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in ID · M10686
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.
2100 PROVIDENCE WAY, Idaho Falls, ID 83404
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Moda Health Plan, Inc., Molina Healthcare 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)

Premier Eye Care Of Eastern Idaho is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Premier Eye Care Of Eastern Idaho, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Ophthalmology10
Optometry1

Clinicians, nearest first (11)

Drew Dayton, O.D.
Optometry
NPI 1740231737
2100 PROVIDENCE WAY
Idaho Falls, ID 83404
(208) 529-6600
✔ PECOS✔ Accepts MedicareSame address
Clinton Ellingson, MD
Ophthalmology
NPI 1326332776
2100 PROVIDENCE WAY
Idaho Falls, ID 83404
(208) 529-6600
✔ PECOS✔ Accepts MedicareSame address
Jason Hooton, M.D.
Ophthalmology
NPI 1932544111
2100 PROVIDENCE WAY
Idaho Falls, ID 83404
(208) 529-6600
✔ PECOS✔ Accepts MedicareSame address
Kyle Thompson, M.D.
Ophthalmology
NPI 1710111224
2100 PROVIDENCE WAY
Idaho Falls, ID 83404
(208) 529-6600
✔ PECOS✔ Accepts MedicareSame address
Landon Thompson
Ophthalmology
NPI 1427640556
2100 PROVIDENCE WAY
Idaho Falls, ID 83404
(208) 529-6600
✔ PECOS✔ Accepts MedicareSame address
Matthew Traynor, M.D.
Ophthalmology
NPI 1063563823
2100 PROVIDENCE WAY
Idaho Falls, ID 83404
(208) 529-6600
✔ PECOS✔ Accepts MedicareSame address
Alex Wright, MD
Ophthalmology
NPI 1043715832
2100 PROVIDENCE WAY
Idaho Falls, ID 83404
(208) 529-6600
✔ PECOS✔ Accepts MedicareSame address
Joshua Fullmer, M.D.
Ophthalmology
NPI 1447301395
23 SAWTELLE AVE STE 102
Rexburg, ID 83440
(208) 359-1888
✔ PECOS✔ Accepts Medicare27 mi
Samuel Beckstead, DO
Ophthalmology
NPI 1487041380
5620 HARVEST SPRINGS BLVD
Chubbuck, ID 83202
(208) 232-4133
✔ PECOS✔ Accepts Medicare44 mi
Michael Burrow, MD
Ophthalmology
NPI 1124480868
5620 HARVEST SPRINGS BLVD
Chubbuck, ID 83202
(208) 232-4133
✔ PECOS✔ Accepts Medicare44 mi
Robert Jones, MD
Ophthalmology
NPI 1912015330
5620 HARVEST SPRINGS BLVD
Chubbuck, ID 83202
(208) 232-4133
✔ PECOS✔ Accepts Medicare44 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 Premier Eye Care Of Eastern Idaho's NPI number?

The NPI number for Premier Eye Care Of Eastern Idaho is 1790052603. It was assigned to this organization in the NPPES registry on November 20, 2011.

Where is Premier Eye Care Of Eastern Idaho located?

Premier Eye Care Of Eastern Idaho is located at 2100 Providence Way, Idaho Falls, ID 83404. The listed phone number is (208) 529-6600.

What is Premier Eye Care Of Eastern Idaho's specialty?

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

Is Premier Eye Care Of Eastern Idaho enrolled in Medicare?

Yes. Premier Eye Care Of Eastern Idaho is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Eye Care Of Eastern Idaho?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Premier Eye Care Of Eastern Idaho. 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 (10) and Optometry (1). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Premier Eye Care Of Eastern Idaho accept?

Health plans from Blue Cross Blue Shield of Wyoming, Moda Health Plan, Inc., Molina Healthcare and University of Utah Health Plans list Premier Eye Care Of Eastern Idaho 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 Premier Eye Care Of Eastern Idaho was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.