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Eye Clinic of Idaho Falls,PA

Ophthalmology Physician in Idaho Falls, ID · enumerated 2007 · authorized official David Anderson, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093911133

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Registry record

Entity type Organization (Type 2)
Legal business name Eye Clinic of Idaho Falls,PA
Practice address 530 S Holmes Ave, Idaho Falls, ID, 83401
Phone (208) 529-3937
Fax (208) 524-4380
Enumeration date Jun 25, 2007
Last updated in NPPES Sep 15, 2011

Taxonomy & classification

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License M3793 (ID) Primary

Authorized official

Name David Anderson
Title Medical Director
Phone (208) 529-3937

Other identifiers

Identifier Type State Issuer
00240930 Medicaid ID -
1205974136 Other ID INDIVIDUAL NPI
003572200 Medicaid ID -

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.

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Frequently asked questions

What type of organization is Eye Clinic of Idaho Falls,PA?
Eye Clinic of Idaho Falls,PA is registered in NPPES as a Ophthalmology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-15.