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ALAMEDA VISION INC.
NPI 1114901535
Optometrist in Pocatello, ID

Active since November 30, 2005CLIA 13D2067990 · Waiver
1155 POCATELLO CREEK RD, POCATELLO, ID 83201(208) 233-2020(208) 233-2021 Get Directions Write a Review

NPPES record last updated: August 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alameda Vision Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALAMEDA VISION INC. (NPI 1114901535) is a healthcare organization registered as an optometrist in Pocatello, Idaho and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through October 24, 2027 and lists Janece Fowers, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1114901535
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameALAMEDA VISION INC.
Location Address1155 POCATELLO CREEK RDPocatello, ID 83201-2949
Mailing Address1155 Pocatello Creek RdPocatello, ID 83201-2949 · (208) 233-2020 · Fax (208) 233-2021
Phone(208) 233-2020
Fax(208) 233-2021
Organization SubpartNo
Authorized OfficialJanece FowersBilling Manager · (208) 233-2020
Enumeration DateNovember 30, 2005
Last NPPES UpdateAugust 29, 2011
✔ NPI 1114901535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1155 POCATELLO CREEK RD, Pocatello, ID 83201
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Other Identifiers 8

Other82413Bs
OtherCP9184ID · Rr Medicare
Medicare PIN1591215ID
Medicare PIN1591031ID
Medicare PIN1590018ID
Medicare PIN1591105ID
Medicare NSC0581440001ID
OtherU2498Bc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2067990

Alameda Vision Center · Pocatello, ID
Active · expires Oct 24, 2027
CLIA Number13D2067990
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorColeman S. Anderson
Laboratory Phone(208) 233-2020
Laboratory LocationAlameda Vision Center1155 Pocatello Creek Rd, Pocatello, ID 83201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Alameda Vsion Inc carries, from the Medicare DMEPOS supplier directory.

Alameda Vsion Inc

DMEPOS supplier · Pocatello, IDOperated by Alameda Vision Inc.
✔

Accepts Medicare assignment

Alameda Vsion Inc 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.

PTAN (Medicare Supplier Number)20526569
Medicare Participant SinceNovember 1, 2011
Supplier Location1155 Pocatello Creek RdPocatello, ID 83201
Phone(208) 233-2020
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE THOMAS OD
Optometrist
1155 POCATELLO CREEK RD
POCATELLO, ID 83201
Bannock County (208) 233-2020
ADVANCED ANESTHESIA, LLC
Nurse Anesthetist, Certified Registered
1155 POCATELLO CREEK RD
POCATELLO, ID 83201
Bannock County (208) 238-6337
MR. DAVID K CROSHAW DPM
Podiatrist
1155 POCATELLO CREEK RD
POCATELLO, ID 83201
Bannock County (208) 232-0006
DR. MICHAEL A TUCKER O.D.
Optometrist
1155 POCATELLO CREEK RD
POCATELLO, ID 83201
Bannock County (208) 233-2020

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 Alameda Vision Inc.'s NPI number?

The NPI number for Alameda Vision Inc. is 1114901535. It was assigned to this organization in the NPPES registry on November 30, 2005.

Where is Alameda Vision Inc. located?

Alameda Vision Inc. is located at 1155 Pocatello Creek Rd, Pocatello, ID 83201. The listed phone number is (208) 233-2020.

What is Alameda Vision Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Alameda Vision Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Alameda Vsion Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Alameda Vision Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2067990) is associated with this NPI, valid through October 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Alameda Vision Inc. accept?

Health plans from PacificSource Health Plans list Alameda Vision Inc. 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 Alameda Vision Inc. was last updated on August 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.