OrganizationActive
Eyedaho Optometric LLC
NPI 1396361358 · Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1396361358
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Trevor Dickson, Owner(208) 709-5371
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 S Utah Ave
Idaho Falls, ID 83402-3305
Phone: (208) 709-5371
Street-level locationGet directions
Mailing address
2951 Stonewood Cir
Ammon, ID 83406-8123
Registry dates
- Enumerated
- 2020-06-24
- Last updated
- 2020-06-24
- Certified
- 2020-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.