EYE CLINIC OF SANDPOINT PA
NPI 1215945431
Ophthalmology in Sandpoint, ID

Active since August 03, 2006
307 S 1ST AVE, SANDPOINT, ID 83864(208) 263-8501(208) 263-9713 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2018, Feb 15, 2018 (2 updates tracked since 2018).

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

NPI1215945431
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEYE CLINIC OF SANDPOINT PA
Location Address307 S 1ST AVESandpoint, ID 83864
Mailing Address307 S 1st AveSandpoint, ID 83864-1201 · (208) 263-8501 · Fax (208) 263-9713
Fax(208) 263-9713
Organization SubpartNo
Authorized OfficialJason M PetersenPhysician-owner · (208) 263-8501
Enumeration DateAugust 3, 2006
Last NPPES UpdateJune 19, 20182 updates tracked since enumeration
NPI 1215945431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedEyewear SupplierTaxonomy 332H00000X
307 S 1ST AVE, Sandpoint, ID 83864

Other Identifiers 1

Medicaid1215945431ID

Accepted Insurance

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 PA

Accepts 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.

PTAN (Medicare Supplier Number)20668991
Medicare Participant SinceJanuary 1, 1995
Supplier Location307 S 1st AveSandpoint, ID 83864
Supplier Specialties
Optometrist Optician

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.

Eyewear Supplier
307 S 1ST AVE
SANDPOINT, ID 83864
Ophthalmology
307 S 1ST AVE
SANDPOINT, ID 83864
Optometrist
307 S 1ST AVE
SANDPOINT, ID 83864
Optometrist
307 S 1ST AVE
SANDPOINT, ID 83864

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.

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.