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EYE CLINIC OF IDAHO FALLSPA NPI 1093911133


NPI Information

NPI: 1093911133
Provider Name: EYE CLINIC OF IDAHO FALLS,PA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
530 S HOLMES AVE
IDAHO FALLS, ID
ZIP 83401
Phone: (208) 529-3937
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EYE CLINIC OF IDAHO FALLS,PA is an ophthalmology in Idaho Falls, ID. The provider is 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. EYE CLINIC OF IDAHO FALLS,PA NPI is 1093911133. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

530 S HOLMES AVE
IDAHO FALLS, ID
ZIP 83401-751
Phone: (208) 529-3937
Fax: (208) 524-4380

The provider's authorized official is David R Anderson .
The authorized official title is Medical Director and has the following contact phone number (208) 529-3937.

The enumeration date for this NPI number is 6/25/2007 and was last updated on 9/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyM3793IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11205974136OTHERIDAHOINDIVIDUAL NPI
21371224MEDICARE PINIDAHO
3E07053MEDICARE UPINIDAHO
400240930MEDICAIDIDAHO
5003572200MEDICAIDIDAHO
60526460001MEDICARE NSCIDAHO
71112596MEDICARE PINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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