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

Eyedaho Optometric LLC

Organization Clinic/Center · NPI 1396361358

Eyedaho Optometric LLC is a Clinic/Center in Idaho Falls, Idaho. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 S Utah Ave
Idaho Falls, ID 83402-3305
Phone: (208) 709-5371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1396361358
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trevor Dickson — Owner · (208) 709-5371
NPI enumeratedJune 24, 2020
Last updated in NPPESJune 24, 2020
Certification dateJune 24, 2020
Mailing address2951 Stonewood Cir, Ammon, ID 83406-8123

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