NPIMap

Organization Active NPI

Intermountain Eye and Laser Centers PLLC

Doing business as Intermountain Eye Centers

  • Ophthalmology Physician
  • Boise, ID
National Provider Identifier
1730119611
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
INTERMOUNTAIN EYE AND LASER CENTERS PLLC
Doing business as
Intermountain Eye Centers
Practice address
999 N Curtis Rd Ste 205
Boise, ID 83706-1316
Phone
(208) 373-1200
Fax
(208) 373-1216
NPI assigned
Jul 4, 2006
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Dr. Brent S Betts, M.D.NPI 1821358490
Title
Physician
Phone
(208) 373-1200

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

999 N Curtis Rd Ste 205
Boise, ID 83706-1316

Mailing address

999 N Curtis Rd Ste 205
Boise, ID 83706-1316
Phone (208) 373-1200

Other names 1

  • Intermountain Eye Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031110000142 ID Part B Supplier - Clinic/Group Practice 6800709502 Receives reassigned benefits from 13 practitioners
Practice locations: Boise, ID; Eagle, ID; Meridian, ID; Nampa, ID
O20100930027146 ID DME Supplier - Physician - OphthalmologyDME Supplier - Optician 6800709502 Practice locations: Boise, ID

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Intermountain Eye and Laser Centers999 N Curtis Rd #205, Boise, ID 83706-1316(208) 373-1200 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Aug 1, 1995

National Provider Directory

National Provider Directory

Locations

6063 W Corporal Ln
Boise, ID 83704

999 N Curtis Rd
Ste 205
Boise, ID 83706
Phone (208) 373-1200

3090 E Gentry Way
Ste 150
Meridian, ID 83642
Phone (208) 389-2276

16165 N High Desert St
Nampa, ID 83687
Phone (208) 373-1200

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1730119611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N CURTIS RD STE 205",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061316",
            "telephone_number": "208-373-1200",
            "fax_number": "208-373-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N CURTIS RD STE 205",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061316",
            "telephone_number": "208-373-1200",
            "fax_number": "208-373-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN EYE AND LASER CENTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-373-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Eye Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.