PREMIER EYE CARE OF EASTERN IDAHO – NPI #1790052603
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.

Health Care Provider Taxonomy Code for Ophthalmology

PREMIER EYE CARE OF EASTERN IDAHO is an ophthalmologist located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1790052603 to PREMIER EYE CARE OF EASTERN IDAHO on November 20, 2011. 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 3 years ago on Jun 28, 2023. 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 PREMIER EYE CARE OF EASTERN IDAHO below.

NPI Profile for
PREMIER EYE CARE OF EASTERN IDAHO

NPI Number
1790052603
Enumeration Date

(more than 14 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
PREMIER EYE CARE OF EASTERN IDAHO
Primary location
2100 PROVIDENCE WAY
IDAHO FALLS, ID 83404
Phone: (208) 529-6600 Fax: (208) 529-6602
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MATTHEW TRAYNOR
OWNER
Phone: (208) 529-6600
Updated
Certification Date
Jun 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)		 ID M10686

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.