SearchIdaho207WX0107X

Clinton Ellingson, MD

NPI 1326332776 · on the registry since 2011

Practice

Address
2100 Providence Way
Idaho Falls, ID 83404
Phone
(208) 529-6600
Fax
(208) 529-6602
Organisation at this address
Premier Eye Care Of Eastern Idaho
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Additional practice sites

  • 214 W 1500 S Ste 300, Bountiful, UT
  • 4360 Washington Blvd, Ogden, UT

Registry record

Primary taxonomy
207WX0107X
207WX0107X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho