P Praxis·MD
● Active Type 2 · Organization

Retina Specialists Of Idaho, Pllc

Ophthalmology·Boise, ID· NPI 1366607996 · Enumerated 2008 · 17 years on NPI
Retina Specialists Of Idaho, Pllc is 1 of 122 ophthalmology organizations in Idaho.
NPI age
17 years
Enumerated 2008-07-23
Primary specialty
Ophthalmology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Roberts
Owner
Last NPPES update
2012-04-10
Source: monthly bulk 2026-05

How this organization compares

Across 122 active ophthalmology providers in Idaho.

NPI age
17 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-07Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
13923 W Wainwright Dr, Suite 301
Boise, ID 837131969
📞 2089385624fax 2089385764
Mailing address
13923 W Wainwright Dr, Suite 301
Boise, ID 837131969
📞 2083985624fax 2089385764

Authorized official

Denton R. Roberts, M.D.
Owner
📞 2089385624

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Ophthalmology Primary
    An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
    ID license #M-10066 taxonomy 207W00000X

Identifiers

TypeValueNotes
05 (ID) 808025900

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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