NPI age
19 years
Enumerated 2006-12-21
● Active Type 2 · Organization
Subpart
Idaho Eye Center PA
Idaho Eye Center PA is 1 of 122 ophthalmology organizations in Idaho.
Primary specialty
Ophthalmology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gardner
Senior Vice President
Last NPPES update
2008-08-20
Source: monthly bulk 2026-05
How this organization compares
Across 122 active ophthalmology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2025 E 17th St
Idaho Falls, ID 83404
Mailing address
2025 E 17th St
Idaho Falls, ID 83404
Authorized official
Bradley P Gardner, MD
Senior Vice President
📞 2085242025
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Richard Cannon, MD Ophthalmology NPI 1992842264
- James Davis, OD Optometrist NPI 1326115395
- Bradley Gardner, MD Ophthalmology NPI 1255408217
- Spencer Harris, MD Ophthalmology NPI 1255892568
- Eric Romriell, DO Ophthalmology NPI 1922072586
- Kenneth Turley, MD Ophthalmology NPI 1063589034
- Shane Wynn, OD Optometrist NPI 1427125491
Specialties
-
Ophthalmology PrimaryAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 8C626 | BLUE CROSS |
| 01 (ID) | 8F876 | BLUE CROSS |
| 01 (ID) | 8E837 | BLUE CROSS |
| 01 (ID) | 84434 | BLUE CROSS |
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
Subpart of Idaho Eye Center, PA.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.