EYE CLINIC OF SANDPOINT PA
NPI 1215945431
Ophthalmology in Sandpoint, ID
About Eye Clinic Of Sandpoint Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EYE CLINIC OF SANDPOINT PA (NPI 1215945431) is a healthcare organization registered as an ophthalmology in Sandpoint, Idaho and active in the NPI registry since August 2006. The organization lists Jason M Petersen, Physician-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eye Clinic Of Sandpoint Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Eye Clinic Of Sandpoint PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 2
Medicare supplier enrollment and the product categories Eye Clinic Of Sandpoint carries, from the Medicare DMEPOS supplier directory.
Eye Clinic Of Sandpoint
DMEPOS supplier · Sandpoint, IDOperated by Eye Clinic Of Sandpoint PAAccepts Medicare assignment
Eye Clinic Of Sandpoint 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 Eye Clinic Of Sandpoint PA's NPI number?
The NPI number for Eye Clinic Of Sandpoint PA is 1215945431. It was assigned to this organization in the NPPES registry on August 3, 2006.
Where is Eye Clinic Of Sandpoint PA located?
Eye Clinic Of Sandpoint PA is located at 307 S 1st Ave, Sandpoint, ID 83864. The listed phone number is (208) 263-8501.
What is Eye Clinic Of Sandpoint PA's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Eye Clinic Of Sandpoint PA enrolled in Medicare?
Yes. Eye Clinic Of Sandpoint PA is registered in the Medicare PECOS enrollment system.
When is Eye Clinic Of Sandpoint PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Idaho, Physician - Optometrist) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Eye Clinic Of Sandpoint PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Eye Clinic Of Sandpoint PA. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Eye Clinic Of Sandpoint PA accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Eye Clinic Of Sandpoint accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Eye Clinic Of Sandpoint PA accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Eye Clinic Of Sandpoint PA 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 Eye Clinic Of Sandpoint PA was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Eye Clinic Of Sandpoint Pa · NPI 1215945431
Ophthalmology organization in Sandpoint, Idaho. Organization record, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1215945431 (Entity type: Organization)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Jason Petersen, PHYSICIAN-OWNER
## Practice location
- **Address:** 307 S 1ST AVE, Sandpoint, ID 83864
- **Phone:** (208) 263-8501 · **Fax:** (208) 263-9713
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (DME, Idaho, Physician - Optometrist) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2018
- **Other identifiers:** Medicaid 1215945431 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1215945431) · Data from the CMS NPPES public registry.