Organization Active NPI

Idaho Retina Center PLLC

  • Ophthalmology Physician
  • Boise, ID
National Provider Identifier
1306400429
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
IDAHO RETINA CENTER PLLC
Practice address
901 N Curtis Rd Ste 302
Boise, ID 83706-1341
Phone
(248) 495-9553
NPI assigned
Apr 24, 2019
Last updated
Aug 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Dr. Ali Torab ParhizNPI 1295050110
Title
MD
Phone
(208) 322-5996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

901 N Curtis Rd Ste 302
Boise, ID 83706-1341

Mailing address

901 N Curtis Rd Ste 302
Boise, ID 83706-1341
Phone (208) 322-5996

Other practice location 1

16211 N Brinson St Ste 140
Nampa, ID 83687-5521
Phone (208) 322-5996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190606001788 ID Part B Supplier - Clinic/Group Practice 3678806601 Receives reassigned benefits from 2 practitioners
Practice locations: Nampa, ID; Boise, ID
O20230112000360 OR Part B Supplier - Clinic/Group Practice 3678806601 Receives reassigned benefits from 1 practitioner
Practice locations: Ontario, OR

National Provider Directory

National Provider Directory

Locations

16211 N Brinson St
Ste 140
Nampa, ID 83687
Phone (208) 287-0408

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1306400429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N CURTIS RD STE 302",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061341",
            "telephone_number": "208-322-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N CURTIS RD STE 302",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061341",
            "telephone_number": "248-495-9553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16211 N Brinson St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836875521",
            "country_code": "US",
            "telephone_number": "208-322-5996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IDAHO RETINA CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "TORAB PARHIZ",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "208-322-5996",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.