Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Eyecare of Blackfoot PLLC

Organization Optometrist · NPI 1568610574

Advanced Eyecare of Blackfoot PLLC is an Optometrist in Blackfoot, Idaho. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1213 Parkway Dr
Blackfoot, ID 83221-1654
Phone: (208) 782-3426
Fax: (208) 782-3436
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1568610574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Carlson — Doctor · (208) 528-6900
NPI enumeratedSeptember 3, 2008
Last updated in NPPESJuly 31, 2015
Mailing address1213 Parkway Dr, Blackfoot, ID 83221-1654

Other providers in Blackfoot