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

Aspen Ridge Eye Care, PLLC

Organization Optometrist · NPI 1023223187

Aspen Ridge Eye Care, PLLC is an Optometrist in Ammon, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3456 E 17th St Ste 150
Ammon, ID 83406-6757
Phone: (208) 528-6900
Fax: (208) 528-6904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-100104 (ID)

Record details

NPI number1023223187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Carlson — Owner · (208) 528-6900
NPI enumeratedMay 11, 2007
Last updated in NPPESMay 1, 2013
Mailing address3456 E 17th St, Suite 150, Ammon, ID 83406-6757

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