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Retina Specialists of Idaho, Pllc

Ophthalmology Physician in Boise, ID · enumerated 2008 · authorized official Denton Roberts, Owner.

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

National Provider Identifier

1366607996

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Registry record

Entity type Organization (Type 2)
Legal business name Retina Specialists of Idaho, Pllc
Practice address 13923 W Wainwright Dr, Suite 301, Boise, ID, 83713
Fax (208) 938-5764
Enumeration date Jul 23, 2008
Last updated in NPPES Apr 10, 2012

Taxonomy & classification

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License M-10066 (ID) Primary

Authorized official

Name Denton Roberts
Title Owner

Other identifiers

Identifier Type State Issuer
808025900 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 is the NPI number for Retina Specialists of Idaho, Pllc?
The NPI for Retina Specialists of Idaho, Pllc is 1366607996, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Retina Specialists of Idaho, Pllc?
NPPES lists Denton Roberts (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-04-10.