Idaho Retina Center PLLC
NPI 1306400429ActiveOrganization· Ophthalmology· Boise, ID
Ophthalmology in Boise, Idaho, registered in NPPES in April 2019. The authorized official on file is Ali Torab Parhiz, Md. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1306400429 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2019 |
| Last updated in NPPES | Aug 26, 2021 |
| Certified by provider | Aug 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (OR) |
|---|
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