Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Kristan C Sparks, O.D.
Optometrist in Shelley, ID · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1174723332
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Registry record
Entity type Individual (Type 1)
Name Dr. Kristan C Sparks
Credential O.D.
Sex Male
Practice address 169 S Emerson Ave, Shelley, ID, 83274
Phone (208) 357-5733
Fax (208) 357-2240
Enumeration date Jul 24, 2007
Last updated in NPPES Jul 24, 2007
Taxonomy & licenses
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21776 | Other | ID | SPECTERA |
| V5988 | Other | ID | BLUE CROSS |
| 90638 | Other | ID | VBA |
| 001251300 | Medicaid | ID | - |
| 000010015251 | Other | ID | BLUE SHIELD |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Kristan Sparks?
Kristan Sparks is registered in NPPES with the primary taxonomy of Optometrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-24.