IndividualActive
Amir Shama, O.D.
NPI 1851536098 · Optometrist · Idaho Falls, ID
Provider details
- NPI number
- 1851536098
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 13617 (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
2550 S 25th E
Idaho Falls, ID 83404-6507
Phone: (208) 552-7323
Fax: (208) 552-7325
Approximate (ZIP-level) locationGet directions
Mailing address
2550 S 25th E
Idaho Falls, ID 83404-6507
Registry dates
- Enumerated
- 2008-12-02
- Last updated
- 2022-10-04
- Certified
- 2022-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.