PEND OREILLE VISION CARE (NPI# 1871849059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871849059 |
| Entity Type | Organization |
| Organization Name | PEND OREILLE VISION CARE |
| Practice Address |
514 Oak St Ste A Sandpoint ID 83864-1480 |
| Mailing Address |
514 Oak St Unit A Sandpoint ID 83864-1480 |
| Practice Telephone | 2082657965 |
| Practice Fax Number | 2082657905 |
| Mailing Telephone | 2082657965 |
| Mailing Fax Number | 2082657905 |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2018-05-21 |
| Authorized Official Name | DR. NATHANEAL DAVID HARRELL (PRESIDENT) |
| Authorized Official Telephone | 2082657965 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6132 Highway 2, Priest River, ID 83856 | 2084480144 | 2084480147 |
| 6348 Main St, Bonners Ferry, ID 838058519 | 2082671087 | 2082672235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104316785 | Pend Oreille Vision Care | Clinic/Center | 6132 Highway 2, Priest River, ID 83856 | 2018-05-18 |
| 1861938250 | Pend Oreille Vision Care | Clinic/Center | 6348 Main St, Bonners Ferry, ID 83805 | 2017-01-10 |
| Street Address |
514 OAK ST STE A |
| City | SANDPOINT |
| State | ID |
| Zip Code | 83864-1480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
| 1245867670 | Kimberly Sue Batchelder | Massage Therapist | Sandpoint Medical Massage & Bodyworks, LLC, 515 Pine Street Ste G., Sandpoint, ID 83864 | 2020-03-25 |
| 1699309963 | Ckam Rejuvenation Center LLC | Massage Therapist | 1315 Us-2, #5, Sandpoint, ID 83864 | 2020-02-26 |
| 1427602986 | Alpine Hand Therapy Inc | Physical Medicine & Rehabilitation | 1205 Hwy 2, Suite 102, Sandpoint, ID 83864 | 2019-08-01 |
| 1295388536 | Momentum Medical Massage and Personal Training, LLC | Massage Therapist | 1013 W Lake St, Sandpoint, ID 83864 | 2019-07-16 |
| 1629508932 | Karen Elizabeth Vollmer-poseley | Counselor | 506 N. 4th Ave, Sandpoint, ID 83864 | 2017-06-19 |
| 1760912042 | Gregory Jon Anthony Prins | Dentist | 1305 Highway 2 West, Sandpoint, ID 83864 | 2017-06-19 |
| 1730547084 | Charity Catlin | Midwife | 204 N 4th Ave #2355, Sandpoint, ID 83864 | 2016-02-02 |
| 1497148860 | Loftus Family Dental - Sandpoint Pllc | Dentist | 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 | 2015-03-10 |
| 1215365523 | Tamarack Treatment and Counseling Center, Pllc | Counselor | 101 N. Boyer Ave, Sandpoint, ID 83864 | 2013-10-23 |
| Find all providers in zip 83864 | ||||
| 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 |
|---|---|---|---|---|
| 1194239574 | Halsa, LLC | Clinic/Center | 406 S Ella Ave, Sandpoint, ID 83864-1130 | 2017-11-21 |
| 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 | ||||
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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.