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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Priest River Eye Care | Doing Business As Name - Organization |
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 |
Street Address |
6132 HIGHWAY 2 |
City | PRIEST RIVER |
State | ID |
Zip Code | 83856 |
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 Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
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). |
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 |
City | PRIEST RIVER |
Zip Code | 83856 |
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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.