Healthcare Provider Details

I. General information

NPI: 1366322737
Provider Name (Legal Business Name): DRIGGS EYECARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 S MAIN ST STE B2
DRIGGS ID
83422-5034
US

IV. Provider business mailing address

180 S MAIN ST STE B2
DRIGGS ID
83422-5034
US

V. Phone/Fax

Practice location:
  • Phone: 207-651-6816
  • Fax:
Mailing address:
  • Phone: 208-471-8721
  • Fax: 208-471-8727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZA MARGUERITE WHATLEY MARTIN
Title or Position: OPTOMETRIST/OWNER
Credential: OD
Phone: 208-471-8721