PEND OREILLE VISION CARE


Address: 6132 Highway 2, Priest River, ID 83856
Phone: 2084480144

PEND OREILLE VISION CARE (NPI# 1104316785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104316785
Entity Type Organization
Organization Name PEND OREILLE VISION CARE
Other Organization Name PRIEST RIVER EYE CARE
Practice Address 6132 Highway 2
Priest River
ID 83856
Mailing Address 514 Oak St Ste A
Sandpoint
ID 83864-1480
Practice Telephone 2084480144
Practice Fax Number 2084480147
Mailing Telephone 2082657965
Mailing Fax Number 2082657905
Enumeration Date 2018-05-18
Last Update Date 2018-05-18
Authorized Official Name DR. NATHANEAL D HARRELL (PRESIDENT)
Authorized Official Telephone 2082657965
Authorized Official Credential OD
Is Organization Subpart Y
Parent Organization Name PEND OREILLE VISION CARE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Priest River Eye Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871849059 Pend Oreille Vision Care Clinic/Center 514 Oak St Ste A, Sandpoint, ID 83864-1480 2012-07-25
1861938250 Pend Oreille Vision Care Clinic/Center 6348 Main St, Bonners Ferry, ID 83805 2017-01-10

Office Location

Street Address 6132 HIGHWAY 2
City PRIEST RIVER
State ID
Zip Code 83856

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457950750 Jill Willett Pharmacist 5453 Us Hwy 2, Priest River, ID 83856 2020-10-19
1700209061 Sequel Alliance Family Services, LLC Counselor 5486 Highway 2 Ste102, Priest River, ID 83856 2014-01-22
1801035878 Albeni-selkirk Counseling Services Community/Behavioral Health 310 Albeni Rd., Ste. B, Priest River, ID 83856 2009-02-13
1679764898 Healing Partners Equestrian Program Community/Behavioral Health 1605 Hoodoo Mt. Road, Priest River, ID 83856 2007-08-05
1710191796 Delores Dianne Miller Massage Therapist 208 9th, Priest River, ID 83856 2007-05-09
1639382419 Ken Miller Massage Therapist 208 Ninth St, Priest River, ID 83856 2007-05-08
1861619520 Alliance Family Services North, Inc. Community/Behavioral Health 5486 Highway 2, Ste. 102, Priest River, ID 83856 2007-04-20
1376681460 Lynne Anne Certain Counselor 301 Albeni Rd., Suite C, Priest River, ID 83856 2007-02-02
1093702227 Richard Allan De Blaquiere Pharmacist 5453 Highway 2, Priest River, ID 83856 2005-10-03
1780170480 Thomas Vanderholm Pharmacist 5453 Highway 2, Priest River, ID 83856 2018-07-05
Find all providers in zip 83856

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992323216 Wolf Pack LLC Clinic/Center 939 S 25th E Ste 115, Ammon, ID 83406-5736 2020-07-13
1831730118 Falls Medical Aesthetics, Pllc Clinic/Center 814 Pancheri Dr, Idaho Falls, ID 83402-3344 2019-10-08
1164072187 Peter John Leichtnam Clinic/Center 1200 W Ironwood Dr Ste 309, Coeur D Alene, ID 83814-2660 2019-09-12
1124674437 Michael J. Moorhouse Inc. Clinic/Center 13900 W Wainwright Dr Ste 100, Boise, ID 83713-5028 2019-08-13
1093368276 Korena Popp Fnp Medical Services LLC Clinic/Center 454 W Roseberry Rd. Ste 104, Donnelly, ID 83615-8361 2019-07-17
1528623915 D & S Works Clinic/Center 5622 W State St, Boise, ID 83703-3010 2019-05-01
1609335090 Hurst Medical Pllc Clinic/Center 1700 Overland Ave Ste 1, Burley, ID 83318 2019-03-15
1912487646 Ideal Option, Pllc Clinic/Center 509 W Hanley Ave Ste 101, Coeur D Alene, ID 83815-8994 2018-08-21
1801376256 Ideal Option, Pllc Clinic/Center 1111 Blue Lakes Blvd N Ste E, Twin Falls, ID 83301-3437 2018-08-15
1649759374 North Canyon Mountain Home Clinic Clinic/Center 840 N 4th E, Mountain Home, ID 83647-2166 2018-08-13
Find all providers with the same taxonomy

Competitor

Search similar providers

City PRIEST RIVER
Zip Code 83856

Improve Information

Please comment or provide details below to improve the information on PEND OREILLE VISION CARE.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches