State of Idaho
NPI 1801833454 · Low Vision Rehabilitation Optometrist · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
State of Idaho is a Low Vision Rehabilitation Optometrist organization in Boise, ID (NPI 1801833454).
Provider details
- NPI number
- 1801833454
- Entity type
- Organization
- Primary specialty
- Low Vision Rehabilitation OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Angela Roan, Administrator(208) 334-3220
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Other names (DBA / former)
- Other name
- Idaho Commission for the Blind & Visually Impaired
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2020-08-22
Frequently asked questions
- What is State of Idaho's NPI number?
- State of Idaho's National Provider Identifier (NPI) is 1801833454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of Idaho?
- State of Idaho is classified in the NPPES registry as Low Vision Rehabilitation Optometrist (Eye and Vision Services Providers).
- Where is State of Idaho located?
- State of Idaho's practice location on file with NPPES is 120 S Cole Rd, Boise, ID 83709-0932.
- What is State of Idaho's phone number?
- The practice phone number listed in the NPPES registry for State of Idaho is (208) 334-3220.
- Does State of Idaho accept Medicare?
- State of 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 State of Idaho?
- The authorized official listed on State of Idaho's NPPES record is Angela Roan, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of Idaho's NPI active?
- Yes — State of Idaho's NPI (1801833454) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.