NPI age
19 years
Enumerated 2007-03-22
● Active Type 2 · Organization
State Of Idaho
State Of Idaho 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
Broetje
Administrative Director
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 598 active optometrist 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
1660 11th Ave N
Nampa, ID 836875000
Mailing address
1660 11th Ave N
Nampa, ID 836875000
Authorized official
Sue Broetje
Administrative Director
📞 2084422812
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 |
|---|---|---|
| 05 (ID) | 805098900 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
DHW ISSH GROUP PHYSICIANS
Practice context
Single-site organization. Only one practice location on file.
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Request a quote →How to verify this organization
- 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.