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

Mr. Brandon Clark Hicks, OD

Individual provider Optometrist · NPI 1679887756

Mr. Brandon Clark Hicks, OD is an Optometry in Boise, Idaho. Graduated from Ohio State University - College of Optometry in 2010, 16 years ago. Practices with Intermountain Eye and Laser Centers PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
16
Trained at
Ohio State University - College of Optometry
Licensed in
ID, UT
In the registry since
2010
Specialties on file
2
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

999 N Curtis Ste 205
Boise, ID 83706-1336
Phone: (208) 373-1200
Fax: (208) 373-1216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-100580 (ID)
Optometrist Taxonomy 152W00000X · Licence 7719282-9934 (UT)

Record details

NPI number1679887756
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 2, 2010
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2010 (16 years in practice)
Group practice Intermountain Eye And Laser Centers Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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