INTERMOUNTAIN EYE AND LASER CENTERS PLLC – NPI #1518643923
Ophthalmology

An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.

Health Care Provider Taxonomy Code for Ophthalmology

INTERMOUNTAIN EYE AND LASER CENTERS PLLC is an ophthalmologist located in EAGLE, ID. NPPES has assigned the NPI number 1518643923 to INTERMOUNTAIN EYE AND LASER CENTERS PLLC on June 22, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0009X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Glaucoma Specialist

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 INTERMOUNTAIN EYE AND LASER CENTERS PLLC below.

NPI Profile for
INTERMOUNTAIN EYE AND LASER CENTERS PLLC

NPI Number
1518643923
Enumeration Date

(about 3 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
INTERMOUNTAIN EYE AND LASER CENTERS PLLC
Primary location
323 E RIVERSIDE DR STE 122
EAGLE, ID 83616-6865
Phone: (208) 938-4749 Fax:
Mailing address
999 N CURTIS RD STE 205
BOISE, ID 83706-1316
Phone: (208) 373-1200 Fax: (208) 373-1216
Organization Subpart
Yes - INTERMOUNTAIN EYE AND LASER CENTERS PLLC is subpart of another organization.
Authorized Official
BRENT BETTS
PARTNER
Phone: (801) 581-2352
Updated
Certification Date
Jun 22, 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
207WX0009X
- Ophthalmology / Glaucoma Specialist (Primary)
207W00000X
- Ophthalmology
152W00000X
- Optometrist

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.