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

Idaho Eye Center PA

Organization Ambulatory Surgical Clinic/Center · NPI 1629145685

Idaho Eye Center PA is an Ambulatory Surgical Clinic/Center in Idaho Falls, Idaho. Registered with an NPI since 2006.

In the registry since
2006
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

2025 E 17th St
Idaho Falls, ID 83404
Phone: (208) 524-2025
Fax: (208) 529-1924
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1629145685
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIdaho Eye Center PA
Authorized official Bradley Gardner — Senior Vice President · (208) 524-2025
Other names Idaho Eye Surgicenter
NPI enumeratedNovember 28, 2006
Last updated in NPPESAugust 12, 2008
Mailing address2025 E 17th St, Idaho Falls, ID 83404

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