IDAHO COMMISSION FOR THE BLIND & VISUALLY IMPAIRED
NPI 1801833454
Optometrist - Low Vision Rehabilitation in Boise, ID

Q: What is State Of Idaho's NPI number?

The NPI number for State Of Idaho is 1801833454. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is also known as Idaho Commission For The Blind & Visually Impaired.

Q: What is State Of Idaho's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.

Q: When was this NPI record last updated?

The NPPES record for State Of Idaho was last updated on August 22, 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.

Active since June 01, 2006

120 S COLE RD, SUITE 120 - BLDG 3, BOISE, ID 83709(208) 334-3220(208) 334-2963 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Idaho Commission For The Blind & Visually Impaired NPPES

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

IDAHO COMMISSION FOR THE BLIND & VISUALLY IMPAIRED (NPI 1801833454) is a healthcare organization registered as a low vision rehabilitation in Boise, Idaho and active in the NPI registry since June 2006. The organization lists Angela Roan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1801833454

Entity TypeOrganization

Primary Taxonomy152WL0500X

Legal Business NameSTATE OF IDAHO

Location Address120 S COLE RD, SUITE 120 - BLDG 3Boise, ID 83709-0932

Mailing Address120 S Cole Rd, Suite 120 - Bldg 3Boise, ID 83709-0932 · (208) 334-3220 · Fax (208) 334-2963

Phone(208) 334-3220

Fax(208) 334-2963

Organization SubpartNo

Authorized OfficialAngela RoanAdministrator · (208) 334-3220

Enumeration DateJune 1, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1801833454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Low Vision RehabilitationEye and Vision Services Providers

Taxonomy Code152WL0500X

Definition

Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.

120 S COLE RD, Boise, ID 83709

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Other Names 1

Other NameIdaho Commission For The Blind & Visually Impaired

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

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 Commission For The Blind & Visually Impaired is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Idaho Commission For The Blind & Visually Impaired, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dwight Hansen, O.D.

Optometry

NPI 1851302855

225 W MAIN ST
Rigby, ID 83442

(208) 745-8773

✔ PECOS✔ Accepts Medicare218 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 State Of Idaho's NPI number?

The NPI number for State Of Idaho is 1801833454. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is also known as Idaho Commission For The Blind & Visually Impaired.

Where is State Of Idaho located?

State Of Idaho is located at 120 S Cole Rd Suite 120 - Bldg 3, Boise, ID 83709. The listed phone number is (208) 334-3220.

What is State Of Idaho's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.

Is State Of Idaho enrolled in Medicare?

Yes. State Of Idaho is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through State Of Idaho?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to State Of 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for State Of Idaho was last updated on August 22, 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.