IndividualActive
Matthew Traynor, M.D.
NPI 1063563823 · Glaucoma Specialist (Ophthalmology) Physician · Idaho Falls, ID
Provider details
- NPI number
- 1063563823
- Entity type
- Individual
- Primary specialty
- Glaucoma Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- M-10686 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2100 Providence Way
Idaho Falls, ID 83404
Phone: (208) 529-6600
Fax: (208) 529-6602
Approximate (ZIP-level) locationGet directions
Mailing address
2100 Providence Way
Idaho Falls, ID 83404-4951
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2023-02-21
- Certified
- 2023-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.