Individual provider Active NPI

Spencer James Harris, MD

  • Cornea and External Diseases Specialist Physician
  • Idaho Falls, ID
National Provider Identifier
1255892568
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
3171370 Issued in ID
Practice address
2025 E 17TH St
Idaho Falls, ID 83404-6430
Phone
(208) 524-2025
Fax
(208) 524-2025
NPI assigned
Mar 28, 2019
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 3171370 ID
Cornea and External Diseases Specialist Physician 207WX0120X 3171370 ID Primary

Addresses

Primary practice location

2025 E 17TH St
Idaho Falls, ID 83404-6430

Mailing address

2025 E 17TH St
Idaho Falls, ID 83404-6430
Phone (208) 524-2025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240830002766 NC Practitioner - Ophthalmology 8426391533
I20251013000183 ID Practitioner - Ophthalmology 8426391533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Washington School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Eye Center PAGroup PAC ID 1557358025, 9 clinicians

Practice addresses (Care Compare)

2025 E 17TH St
Idaho Falls, ID 83404-6430
Phone (208) 524-2025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3171370IDMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Eye Center PA Ophthalmology CurrentSince Oct 1, 2025 Accepting new patients
Idaho Eye Center PA CurrentSince Oct 1, 2025 Accepting new patients

Locations

2025 E 17th St
Idaho Falls, ID 83404
Phone (208) 524-2025

1157 Call Pl
Pocatello, ID 83201
Phone (208) 221-3876

491 First American Cir
Rexburg, ID 83440
Phone (208) 359-1130

426 Park View Loop
Twin Falls, ID 83301
Phone (208) 933-2039

Interoperability endpoints

  • Direct secure messaging: sharris@ielc.intellechartdirect.net
  • Direct secure messaging: sharris583459@direct.medicine.duke.edu

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1255892568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046430",
            "telephone_number": "208-524-2025",
            "fax_number": "208-524-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046430",
            "telephone_number": "208-524-2025",
            "fax_number": "208-524-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SPENCER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "3171370",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "ID",
            "license": "3171370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.