NPI 1790052603

Premier Eye Care of Eastern Idaho

Organisation Ophthalmology Physician Idaho Falls, ID

Practice location

Address: 2100 Providence Way, Idaho Falls, ID 83404
Phone: (208) 529-6600
Fax: (208) 529-6602
Mailing address: 2100 Providence Way, Idaho Falls, ID 83404-4951

Authorised official

Name: Matthew P Traynor
Title: Owner
Phone: (208) 529-6600

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence M10686 (ID)

Other Ophthalmology providers in Idaho →

Registry record

NPI: 1790052603
Entity type: Organization
NPI issued: 20 Nov 2011
Record last updated: 28 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.