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

Richard Cannon, MD

Individual provider Ophthalmology Physician · NPI 1992842264

Richard Cannon, MD is an Ophthalmology in Idaho Falls, Idaho. Qualified in 2003, 23 years ago. Practices with Idaho Eye Center PA, a 9-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
23
Licensed in
ID
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2025 E 17th St
Idaho Falls, ID 83404-6430
Phone: (208) 524-2025
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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 M-10001 (ID)

Record details

NPI number1992842264
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2025 E 17th St, Idaho Falls, ID 83404-6430

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Idaho Eye Center Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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