IndividualActive
Richard Cannon, MD
NPI 1992842264 · Ophthalmology Physician · Idaho Falls, ID
Provider details
- NPI number
- 1992842264
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M-10001 (ID)
Mailing address
2025 E 17th St
Idaho Falls, ID 83404-6430
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.