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PREMIER EYE CARE OF EASTERN IDAHO NPI 1790052603


NPI Information

NPI: 1790052603
Provider Name: PREMIER EYE CARE OF EASTERN IDAHO
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
2100 PROVIDENCE WAY
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 529-6600
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PREMIER EYE CARE OF EASTERN IDAHO 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. PREMIER EYE CARE OF EASTERN IDAHO NPI is 1790052603. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2100 PROVIDENCE WAY
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 529-6600
Fax: (208) 529-6602

The provider's authorized official is Matthew P Traynor .
The authorized official title is Owner and has the following contact phone number (208) 529-6600.

The enumeration date for this NPI number is 11/20/2011 and was last updated on 6/28/2023.


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
1207W00000XOphthalmologyM10686IDAHOYes

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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