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

Richard Dallin Boardman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346764511

Richard Dallin Boardman is an Optometry in Logan, Utah. Graduated from Pacific University - College of Optometry in 2018, 8 years ago. Practices with Eye Pros of Logan LLC, a 2-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Trained at
Pacific University - College of Optometry
Licensed in
ID
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

810 S 100 W Ste A
Logan, UT 84321-6093
Phone: (435) 787-7200
Fax: (435) 787-7203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4013 Yellowstone Ave Ste D, Chubbuck, ID 83202 — (208) 297-7019
  • 2727 22nd Ave Apt 32, Forest Grove, OR 97116-1834 — (208) 821-1920
  • 2727 22nd Ave Apt 32, Forest Grove, OR 97116-1834 — (208) 821-1920

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-100444 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1346764511
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2017
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address3485 N Cole Rd Unit 45479, Boise, ID 83711-1095

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2018 (8 years in practice)
Group practice Eye Pros Of Logan Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Logan