KOOTENAI VISION CENTER
NPI 1386856284
Optometrist in Coeur D Alene, ID

Active since May 04, 2007
1801 N THIRD ST, COEUR D ALENE, ID 83814(208) 667-1591(208) 676-8574 Get Directions Write a Review

NPPES record last updated: April 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1386856284
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKOOTENAI VISION, PLLC
Location Address1801 N THIRD STCoeur D Alene, ID 83814
Mailing Address1801 N Third StCoeur D Alene, ID 83814 · (208) 667-1591 · Fax (208) 676-8574
Fax(208) 676-8574
Organization SubpartNo
Authorized OfficialLance William FaganManaging Member · (208) 667-2591
Enumeration DateMay 4, 2007
Last NPPES UpdateApril 12, 2011
NPI 1386856284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in ID · ODP1029
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.
1801 N THIRD ST, Coeur D Alene, ID 83814

Other Names 1

Doing Business AsKootenai Vision Center

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

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.

What insurance does Kootenai Vision, PLLC accept?

Health plans from BlueCross BlueShield of Tennessee and Premera Blue Cross Blue Shield of Alaska 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.