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

Utham P Balachandran, OD

Individual provider Optometrist · NPI 1669813721

Utham P Balachandran, OD is an Optometrist in Boise, Idaho. Licensed in Missouri and Pennsylvania. Registered with an NPI since 2013.

Licensed in
MO, PA
In the registry since
2013
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

444 W Fort St Fl 2
Boise, ID 83702-4535
Phone: (208) 422-1018
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2015003345 (MO)
Optometrist Taxonomy 152W00000X · Licence OEG002829 (PA)

Record details

NPI number1669813721
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 17, 2013
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023
Mailing address15933 Clayton Rd Ste 201, Ballwin, MO 63011-2172

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