Idaho Eye Center PA
NPI 1518021849ActiveOrganization· Ophthalmology· Idaho Falls, ID
Ophthalmology in Idaho Falls, Idaho, registered in NPPES in December 2006, part of Idaho Eye Center, PA. The authorized official on file is Bradley P. Gardner, MD, Senior Vice President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1518021849 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Idaho Eye Center, PA |
| NPI issued | Dec 21, 2006 |
| Last updated in NPPES | Aug 20, 2008 |
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) |
|---|
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