OrganizationActive
Eye Clinic of Idaho Falls,pa
NPI 1093911133 · Ophthalmology Physician · Idaho Falls, ID
Provider details
- NPI number
- 1093911133
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Anderson, Medical Director(208) 529-3937
- License
- M3793 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
530 S Holmes Ave
Idaho Falls, ID 83401-4751
Phone: (208) 529-3937
Fax: (208) 524-4380
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2410
Idaho Falls, ID 83403-2410
Registry dates
- Enumerated
- 2007-06-25
- Last updated
- 2011-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.