NPI age
19 years
Enumerated 2007-03-21
● Active Type 2 · Organization
Eagle Eye Surgery And Laser Center Llc
Eagle Eye Surgery And Laser Center Llc is 1 of 99 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Snodgrass
President
Last NPPES update
2022-09-21
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
3090 E Gentry Way Ste 100
Meridian, ID 836423548
Mailing address
1a Burton Hills Blvd, Attn: L&c
Nashville, TN 372156103
Authorized official
Jeffrey Snodgrass
President
📞 6156651283
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010029603 | REGENCE BLUE SHIELD |
| 05 (ID) | 805834800 | |
| 01 (ID) | 04093 | BLUE CROSS |
| 05 (OR) | 150695 | |
| 01 (ID) | 490004716 | RAILROAD MEDICARE |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Eagle Eye Surgery & Laser Center
-
Eagle Eye Surgery & Laser Center
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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