KOOTENAI VISION CENTER
NPI 1386856284
Optometrist in Coeur D Alene, ID
About Kootenai Vision Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOOTENAI VISION CENTER (NPI 1386856284) is a healthcare organization registered as an optometrist in Coeur D Alene, Idaho and active in the NPI registry since May 2007. The organization lists Lance William Fagan, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Kootenai Vision Center 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 Kootenai Vision Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address. 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.
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 Kootenai Vision, PLLC's NPI number?
The NPI number for Kootenai Vision, PLLC is 1386856284. It was assigned to this organization in the NPPES registry on May 4, 2007. The provider is doing business as Kootenai Vision Center.
Where is Kootenai Vision, PLLC located?
Kootenai Vision, PLLC is located at 1801 N Third St, Coeur D Alene, ID 83814. The listed phone number is (208) 667-1591.
What is Kootenai Vision, PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kootenai Vision, PLLC enrolled in Medicare?
Yes. Kootenai Vision, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kootenai Vision, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Kootenai 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Kootenai 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 2 other insurers list Kootenai 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 Kootenai Vision, PLLC was last updated on April 12, 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.
# Kootenai Vision Center · NPI 1386856284
Optometrist organization in Coeur D Alene, Idaho. Organization record, active in the CMS NPPES registry since May 4, 2007.
## Identity
- **NPI:** 1386856284 (Entity type: Organization)
- **Enumerated:** May 4, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Kootenai Vision, Pllc
- **Organization subpart:** No
- **Authorized official:** Lance Fagan, MANAGING MEMBER
## Practice location
- **Address:** 1801 N THIRD ST, Coeur D Alene, ID 83814
- **Phone:** (208) 667-1591 · **Fax:** (208) 676-8574
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1386856284) · Data from the CMS NPPES public registry.