NPI age
17 years
Enumerated 2008-09-16
● Active Type 2 · Organization
Michael R Flandro OD PA
Michael R Flandro OD PA is 1 of 145 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Flandro
Owner/president
Last NPPES update
2009-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 145 active clinic/center providers in Idaho.
NPI age
17 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-09Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
360 S Arthur Ave
Pocatello, ID 832043307
Mailing address
360 S Arthur Ave
Pocatello, ID 832043307
Authorized official
Michael Reese Flandro, O.D.
Owner/president
📞 2082326675
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Gary Anderson Optometrist NPI 1225868201
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010015363 | REGENCE BLUE SHIELD OF IDAHO |
| 01 (ID) | 410039268 | MEDICARE RAILROAD RETIREMENT BOARD |
| 05 (ID) | 002622900 | |
| 01 (ID) | V2811 | BLUE CROSS OF IDAHO |
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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