IDAHO EYE CENTER PA – NPI #1518021849
Ophthalmology

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.

IDAHO EYE CENTER PA is an ophthalmologist located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1518021849 to IDAHO EYE CENTER PA on December 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 18 years ago on Aug 20, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IDAHO EYE CENTER PA below.

NPI Profile for
IDAHO EYE CENTER PA

NPI Number
1518021849
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IDAHO EYE CENTER PA
Primary location
2025 E 17TH ST
IDAHO FALLS, ID 83404
Phone: (208) 524-2025 Fax: (208) 529-1924
Mailing address
Same as primary location
Organization Subpart
Yes - IDAHO EYE CENTER PA is subpart of another organization.
Authorized Official
BRADLEY GARDNER
SENIOR VICE PRESIDENT
Phone: (208) 524-2025
Updated
Identifiers

Identifiers for IDAHO EYE CENTER PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSSID8C626
OTHERBLUE CROSSID8E837
OTHERBLUE CROSSID8F876
OTHERBLUE CROSSID84434
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.