OrganizationActive
Premier Eye Care of Eastern Idaho
NPI 1790052603 · Ophthalmology Physician · Idaho Falls, ID
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
Detailed profile(80/100 index)
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
2100 Providence Way
Idaho Falls, ID 83404
Phone: (208) 529-6600
Fax: (208) 529-6602
Street-level locationGet directions
Mailing address
2100 Providence Way
Idaho Falls, ID 83404-4951
Registry dates
- Enumerated
- 2011-11-20
- Last updated
- 2023-06-28
- Certified
- 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.