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

Dr. Kristan C Sparks, OD

Individual provider Optometrist · NPI 1174723332

Dr. Kristan C Sparks, OD is an Optometry in Shelley, Idaho. Graduated from Pacific University - College of Optometry in 1980, 46 years ago. Practices with Parkway Eyecare P C, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
46
Trained at
Pacific University - College of Optometry
Licensed in
ID
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

169 S Emerson Ave
Shelley, ID 83274-1226
Phone: (208) 357-5733
Fax: (208) 357-2240
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP638 (ID)

Record details

NPI number1174723332
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 24, 2007
Last updated in NPPESJuly 24, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 1980 (46 years in practice)
Group practice Parkway Eyecare P C — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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