SALMON RIVER VISION CLINIC, PLLC
NPI 1396018461
Optometrist in Salmon, ID
About Salmon River Vision Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALMON RIVER VISION CLINIC, PLLC (NPI 1396018461), doing business as Scott Burns Taylor, is a healthcare organization registered as an optometrist in Salmon, Idaho and active in the NPI registry since February 2012. The organization lists Dustin James Jones, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Salmon River Vision Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Salmon River Vision Clinic, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Salmon River Vision Clinic PLLC carries, from the Medicare DMEPOS supplier directory.
Salmon River Vision Clinic PLLC
DMEPOS supplier · Salmon, IDAccepts Medicare assignment
Salmon River Vision Clinic PLLC 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 Salmon River Vision Clinic, PLLC's NPI number?
The NPI number for Salmon River Vision Clinic, PLLC is 1396018461. It was assigned to this organization in the NPPES registry on February 20, 2012. The provider was formerly known as Scott Burns Taylor.
Where is Salmon River Vision Clinic, PLLC located?
Salmon River Vision Clinic, PLLC is located at 603 Shoup St, Salmon, ID 83467. The listed phone number is (208) 756-2020.
What is Salmon River Vision Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Salmon River Vision Clinic, PLLC enrolled in Medicare?
Yes. Salmon River Vision Clinic, PLLC is registered in the Medicare PECOS enrollment system.
When is Salmon River Vision Clinic, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by February 28, 2027. 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 Salmon River Vision Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Salmon River Vision Clinic, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Salmon River Vision Clinic, PLLC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Salmon River Vision Clinic PLLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
When was this NPI record last updated?
The NPPES record for Salmon River Vision Clinic, PLLC was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Salmon River Vision Clinic, Pllc · NPI 1396018461
Optometrist organization in Salmon, Idaho. Organization record, active in the CMS NPPES registry since February 20, 2012.
## Identity
- **NPI:** 1396018461 (Entity type: Organization)
- **Enumerated:** February 20, 2012
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Dustin Jones, OWNER
## Practice location
- **Address:** 603 SHOUP ST, Salmon, ID 83467-4259
- **Phone:** (208) 756-2020 · **Fax:** (208) 756-3741
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1396018461) · Data from the CMS NPPES public registry.