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

Eye Clinic of Idaho Falls, PA

Organization Ophthalmology Physician · NPI 1093911133

Eye Clinic of Idaho Falls, PA is an Ophthalmology Physician in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

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

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Practice location Address checks out

530 S Holmes Ave
Idaho Falls, ID 83401-4751
Phone: (208) 529-3937
Fax: (208) 524-4380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence M3793 (ID)

Record details

NPI number1093911133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Anderson — Medical Director · (208) 529-3937
NPI enumeratedJune 25, 2007
Last updated in NPPESSeptember 15, 2011
Mailing addressPo Box 2410, Idaho Falls, ID 83403-2410

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