Individual provider Active NPI

Neal Boyd Guymon, O.D.

  • Optometrist
  • Idaho Falls, ID
National Provider Identifier
1184999625
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100325 Issued in ID
Practice address
1689 Pancheri Dr
Idaho Falls, ID 83402-3169
Phone
(208) 529-4333
Fax
(208) 529-4366
NPI assigned
Mar 16, 2012
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-100325 ID Primary

Addresses

Primary practice location

1689 Pancheri Dr
Idaho Falls, ID 83402-3169

Mailing address

1689 Pancheri Dr
Idaho Falls, ID 83402-3169
Phone (208) 529-4333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150818004131 ID Practitioner - Optometry 5395991426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Eyecare PLLCGroup PAC ID 4284867888, 8 clinicians

Practice addresses (Care Compare)

1689 Pancheri Dr
Idaho Falls, ID 83402-3169
Phone (208) 529-4333

3351 Merlin Dr
Idaho Falls, ID 83404-7405
Phone (208) 522-5594

45 W 1St
Saint Anthony, ID 83445-1401
Phone (208) 624-3231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-100325IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Eyecare Inc Optometrist PastSince Nov 17, 2008 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1184999625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 PANCHERI DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023169",
            "telephone_number": "208-529-4333",
            "fax_number": "208-529-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 PANCHERI DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023169",
            "telephone_number": "208-529-4333",
            "fax_number": "208-529-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUYMON",
        "first_name": "NEAL",
        "middle_name": "BOYD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-16",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.