IndividualActive
Brian Mckeon, OD
NPI 1841921863 · Optometrist · Idaho Falls, ID
Provider details
- NPI number
- 1841921863
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 111111 (ID)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1480 E Lincoln Rd
Idaho Falls, ID 83401-2128
Phone: (208) 525-8686
Fax: (208) 525-8684
Approximate (ZIP-level) locationGet directions
Mailing address
1480 E Lincoln Rd
Idaho Falls, ID 83401-2128
Registry dates
- Enumerated
- 2022-06-21
- Last updated
- 2022-06-27
- Certified
- 2022-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.