NPI age
12 years
Enumerated 2013-09-24
● Active Type 2 · Organization
Idaho Eye Pros Idaho Falls Llc
Idaho Eye Pros Idaho Falls Llc is 1 of 598 optometrist organizations in Idaho.
Primary specialty
Optometrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
George
Account Manager
Last NPPES update
2021-03-26
Source: monthly bulk 2026-05
How this organization compares
Across 598 active optometrist providers in Idaho.
NPI age
12 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-09Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
2990 S 25th E
Idaho Falls, ID 834046515
Mailing address
3485 N Cole Rd Unit 45479
Boise, ID 837111095
Authorized official
Laurel George
Account Manager
📞 2089549106
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Kendall Willden, O.D. Optometrist NPI 1598072043
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) | 20006642 | PTAN |
Other names on file (3)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Eye Pros
-
Idaho Eye Pros
-
Idaho Eye Pros
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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