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

Premier Eye Care of Eastern Idaho

Organization Ophthalmology Physician · NPI 1790052603

Premier Eye Care of Eastern Idaho is an Ophthalmology Physician in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011
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Practice location Address checks out

2100 Providence Way
Idaho Falls, ID 83404
Phone: (208) 529-6600
Fax: (208) 529-6602
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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 M10686 (ID)

Record details

NPI number1790052603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Traynor — Owner · (208) 529-6600
NPI enumeratedNovember 20, 2011
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing address2100 Providence Way, Idaho Falls, ID 83404-4951

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