BONNEVILLE VISION, PLLC
NPI 1093367971
Optometrist in Idaho Falls, ID
About Bonneville Vision, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BONNEVILLE VISION, PLLC (NPI 1093367971) is a healthcare organization registered as an optometrist in Idaho Falls, Idaho and active in the NPI registry since July 2019. The organization lists Nathan Housley, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bonneville Vision, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bonneville Vision, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS
Medicare supplier enrollment and the product categories Bonneville Vision PLLC carries, from the Medicare DMEPOS supplier directory.
Bonneville Vision PLLC
DMEPOS supplier · Idaho Falls, IDAccepts Medicare assignment
Bonneville Vision PLLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bonneville Vision, PLLC's NPI number?
The NPI number for Bonneville Vision, PLLC is 1093367971. It was assigned to this organization in the NPPES registry on July 11, 2019.
Where is Bonneville Vision, PLLC located?
Bonneville Vision, PLLC is located at 838 S Woodruff Ave, Idaho Falls, ID 83401. The listed phone number is (208) 523-3937.
What is Bonneville Vision, PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Bonneville Vision, PLLC enrolled in Medicare?
Yes. Bonneville Vision, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bonneville Vision, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Bonneville Vision, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bonneville Vision, PLLC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Bonneville Vision PLLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Bonneville Vision, PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Bonneville Vision, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bonneville Vision, PLLC was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bonneville Vision, Pllc · NPI 1093367971
Optometrist organization in Idaho Falls, Idaho. Organization record, active in the CMS NPPES registry since July 11, 2019.
## Identity
- **NPI:** 1093367971 (Entity type: Organization)
- **Enumerated:** July 11, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Nathan Housley, MANAGING MEMBER
## Practice location
- **Address:** 838 S WOODRUFF AVE, Idaho Falls, ID 83401-5296
- **Phone:** (208) 523-3937
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1093367971) · Data from the CMS NPPES public registry.