NPI age
18 years
Enumerated 2007-07-24
● Active
Type 1 · Individual
DR. Kristan C Sparks, O.D.
Sparks is 1 of 5 optometrist providers in Shelley and 1 of 598 in Idaho.
Primary specialty
Optometrist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 598 active optometrist providers in Idaho.
NPI age
18 years
≈ at median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Practice location
169 S Emerson Ave
Shelley, ID 832741226
Mailing address
Po Box 547
Shelley, ID 832740547
Specialties
-
Optometrist PrimaryDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 21776 | SPECTERA |
| 01 (ID) | V5988 | BLUE CROSS |
| 01 (ID) | 90638 | VBA |
| 05 (ID) | 001251300 | |
| 01 (ID) | 000010015251 | BLUE SHIELD |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.