ALAMEDA VISION INC.
NPI 1114901535
Optometrist in Pocatello, ID
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
Specialties & Licenses
Other Identifiers 8
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)
Alameda Vision Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Alameda Vision Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, IDMedical 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.
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 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.
Is Alameda Vision Inc. enrolled in Medicare?
Yes. Alameda Vision Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Alameda Vision Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Alameda Vision Inc.. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Molina Healthcare and 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 15 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.
# Alameda Vision Inc. · NPI 1114901535
Optometrist organization in Pocatello, Idaho. Organization record, active in the CMS NPPES registry since November 30, 2005.
## Identity
- **NPI:** 1114901535 (Entity type: Organization)
- **Enumerated:** November 30, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Janece Fowers, BILLING MANAGER
## Practice location
- **Address:** 1155 POCATELLO CREEK RD, Pocatello, ID 83201-2949
- **Phone:** (208) 233-2020 · **Fax:** (208) 233-2021
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2011
- **Other identifiers:** Other 82413; Other CP9184 (ID); Medicare PIN 1591215 (ID); and 5 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114901535) · Data from the CMS NPPES public registry.