RETINA SPECIALISTS OF IDAHO PARTNERS, PLLC
NPI 1922425032
Ophthalmology - Retina Specialist in Boise, ID

Active since March 26, 2014
13923 W WAINWRIGHT DR, SUITE 301, BOISE, ID 83713(208) 938-5624(208) 938-5764 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2019, Oct 10, 2019, Sep 27, 2019 (3 updates tracked since 2019).

About Retina Specialists Of Idaho Partners, Pllc NPPES

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

RETINA SPECIALISTS OF IDAHO PARTNERS, PLLC (NPI 1922425032) is a healthcare organization registered as a retina specialist in Boise, Idaho and active in the NPI registry since March 2014. The organization maintains a secondary practice location in Boise and lists Denton R. Roberts, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1922425032
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameRETINA SPECIALISTS OF IDAHO PARTNERS, PLLC
Location Address13923 W WAINWRIGHT DR, SUITE 301Boise, ID 83713-1969
Mailing Address13923 W Wainwright Dr, Suite 301Boise, ID 83713-1969 · (208) 938-5624 · Fax (208) 938-5764
Fax(208) 938-5764
Organization SubpartNo
Authorized OfficialDenton R. RobertsManaging Partner · (208) 938-5624
Enumeration DateMarch 26, 2014
Last NPPES UpdateOctober 14, 20193 updates tracked since enumeration
NPI 1922425032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
13923 W WAINWRIGHT DR, Boise, ID 83713

Secondary Practice Location 1

Location 1128 E Mallard DrBoise, ID 83706-3975 · Phone (208) 323-8660 · Fax (208) 323-8686

Other Identifiers 1

Medicaid1699742395ID

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

Other Providers at the Same Location NPPES 2

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

Ophthalmology
13923 W WAINWRIGHT DR, SUITE 301
BOISE, ID 83713
Ophthalmology
13923 W WAINWRIGHT DR, SUITE 301
BOISE, ID 83713

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 Retina Specialists Of Idaho Partners, PLLC's NPI number?

The NPI number for Retina Specialists Of Idaho Partners, PLLC is 1922425032. It was assigned to this organization in the NPPES registry on March 26, 2014.

Where is Retina Specialists Of Idaho Partners, PLLC located?

Retina Specialists Of Idaho Partners, PLLC is located at 13923 W Wainwright Dr Suite 301, Boise, ID 83713. The listed phone number is (208) 938-5624.

What is Retina Specialists Of Idaho Partners, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

What insurance does Retina Specialists Of Idaho Partners, PLLC accept?

Health plans from Moda Health Plan, Inc. list Retina Specialists Of Idaho Partners, PLLC 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 Retina Specialists Of Idaho Partners, PLLC was last updated on October 14, 2019. 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.