Premier Eye Care of Eastern Idaho
NPI 1790052603 · Ophthalmology Physician · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premier Eye Care of Eastern Idaho is a Ophthalmology Physician organization in Idaho Falls, ID (NPI 1790052603).
Provider details
- NPI number
- 1790052603
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Traynor, Owner(208) 529-6600
- License
- M10686 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Registry dates
- Enumerated
- 2011-11-20
- Last updated
- 2023-06-28
- Certified
- 2023-06-28
Frequently asked questions
- What is Premier Eye Care of Eastern Idaho's NPI number?
- Premier Eye Care of Eastern Idaho's National Provider Identifier (NPI) is 1790052603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Eye Care of Eastern Idaho?
- Premier Eye Care of Eastern Idaho is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Premier Eye Care of Eastern Idaho located?
- Premier Eye Care of Eastern Idaho's practice location on file with NPPES is 2100 Providence Way, Idaho Falls, ID 83404.
- What is Premier Eye Care of Eastern Idaho's phone number?
- The practice phone number listed in the NPPES registry for Premier Eye Care of Eastern Idaho is (208) 529-6600.
- Does Premier Eye Care of Eastern Idaho accept Medicare?
- Premier Eye Care of Eastern Idaho is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Premier Eye Care of Eastern Idaho?
- The authorized official listed on Premier Eye Care of Eastern Idaho's NPPES record is Matthew Traynor, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Eye Care of Eastern Idaho's NPI active?
- Yes — Premier Eye Care of Eastern Idaho's NPI (1790052603) is active in the NPPES registry as of the last update on 2023-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.