P Praxis·MD
● Active Type 2 · Organization

Kent M Archibald P.A.

Optometrist·Rexburg, ID· NPI 1447579123 · Enumerated 2010 · 16 years on NPI
Kent M Archibald P.A. is 1 of 598 optometrist organizations in Idaho.
NPI age
16 years
Enumerated 2010-05-20
Primary specialty
Optometrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Archibald
President
Last NPPES update
2018-06-20
Source: monthly bulk 2026-05

How this organization compares

Across 598 active optometrist providers in Idaho.

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

NPI lifetime · 2010 → 2026

2010-05Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
76 Professional Plz
Rexburg, ID 834402047
📞 2083564585fax 2083564587
Mailing address
Po Box 430
Rexburg, ID 834400430
📞 2083564585fax 2083564587

Authorized official

Kent M Archibald, O.D.
President
📞 2083564585

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Optometrist Primary
    Doctors 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...
    ID license #OPD-513 taxonomy 152W00000X

Identifiers

TypeValueNotes
01 (ID) ODP-513 IDAHO OPTOMETRY LICENSE
01 (ID) V109-4 BLUE CROSS
01 (ID) 00010015323 BLUE SHIELD
05 (ID) 002457600
01 (ID) 410007525 RAIL ROAD

Practice context

Multi-provider organization. 3 individual providers 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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