RETINA SPECIALISTS OF IDAHO, PLLC (NPI# 1366607996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366607996 |
| Entity Type | Organization |
| Organization Name | RETINA SPECIALISTS OF IDAHO, PLLC |
| Practice Address |
13923 W Wainwright Dr Suite 301 Boise ID 83713-1969 |
| Practice Telephone | 2089385624 |
| Practice Fax Number | 2089385764 |
| Mailing Telephone | 2083985624 |
| Mailing Fax Number | 2089385764 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2012-04-10 |
| Authorized Official Name | DENTON R. ROBERTS (OWNER) |
| Authorized Official Telephone | 2089385624 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | M-10066 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 808025900 | 05 |
| Street Address |
13923 W WAINWRIGHT DR SUITE 301 |
| City | BOISE |
| State | ID |
| Zip Code | 83713-1969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699742395 | Denton R Roberts | Ophthalmology | 13923 W Wainwright Dr, Suite 301, Boise, ID 83713-1969 | 2006-03-02 |
| 1922425032 | Retina Specialists of Idaho Partners, Pllc | Ophthalmology | 13923 W Wainwright Dr, Suite 301, Boise, ID 83713-1969 | 2014-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295050110 | Ali Torab Parhiz | Ophthalmology | 901 N Curtis Rd Ste 302, Boise, ID 83706-1341 | 2010-04-03 |
| 1720248305 | James Benjamin Earl | Ophthalmology | 13923 W. Wainwright Dr Ste 301, Boise, ID 83713 | 2008-06-17 |
| 1891868006 | Gregory J Kent | Ophthalmology | 901 N Curtis Rd Suite 302, Boise, ID 83706 | 2006-11-16 |
| 1386739928 | Mark D Borup | Ophthalmology | 999 N. Curtis Road, Suite 205, Boise, ID 83706 | 2006-10-03 |
| 1578657094 | Kathryn M Fethke | Ophthalmology | 999 N. Curtis, Suite 205, Boise, ID 83706 | 2006-10-02 |
| 1386738839 | Katherine A Lee | Ophthalmology | 100 E. Idaho St, Suite 311, Boise, ID 83712 | 2006-10-02 |
| 1912091455 | Molly J Mannschreck | Ophthalmology | 999 N. Curtis Rd, Suite 205, Boise, ID 83706 | 2006-10-02 |
| 1679582282 | Justin Rodney Johnsen | Ophthalmology | 909 S Allante Pl, Boise, ID 83709 | 2006-08-05 |
| 1891731014 | Francois D Trotta | Ophthalmology | 128 E Mallard Dr, Boise, ID 83706-3975 | 2006-06-22 |
| 1417916586 | Adam C Reynolds | Ophthalmology | 999 N Curtis Rd Ste 205, Boise, ID 83706-1316 | 2006-03-18 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.