HAYDEN VISION CENTER P.A.
NPI 1407975873
Specialist in Hayden, ID

Active since March 28, 2007CLIA 13D2026988 · Waiver
8445 N GOVERNMENT WAY, HAYDEN, ID 83835(208) 772-3208(208) 762-2574 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hayden Vision Center P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAYDEN VISION CENTER P.A. (NPI 1407975873) is a healthcare organization registered as a specialist in Hayden, Idaho and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through July 13, 2027 and lists Debra L Stoenner, Owner, as its authorized official.

NPPES Registry Identity

NPI1407975873
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameHAYDEN VISION CENTER P.A.
Location Address8445 N GOVERNMENT WAYHayden, ID 83835-9280
Mailing Address8445 N Government WayHayden, ID 83835-9280 · (208) 772-3208 · Fax (208) 762-2574
Fax(208) 762-2574
Organization SubpartNo
Authorized OfficialDebra L StoennerOwner · (208) 772-3208
Enumeration DateMarch 28, 2007
Last NPPES UpdateMarch 13, 2008
✔ NPI 1407975873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ID · 0661
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
8445 N GOVERNMENT WAY, Hayden, ID 83835

Other Identifiers 1

Medicare NSC0563560001ID

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hayden Vision Center P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Hayden Vision Center P.A., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Optometry
NPI 1356335897
8445 N GOVERNMENT WAY
Hayden, ID 83835
(208) 772-3208
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1013575851
8445 N GOVERNMENT WAY
Hayden, ID 83835
(208) 772-3208
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1912524513
8445 N GOVERNMENT WAY
Hayden, ID 83835
(208) 660-9960
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1295187458
1800 FOURTH ST
Livermore, CA 94550
(925) 447-3883
✔ PECOS✔ Accepts Medicare740 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2026988

Hayden Vision Source · Hayden, ID
Active · expires Jul 13, 2027
CLIA Number13D2026988
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2025
Certificate Expiration DateJuly 13, 2027
Laboratory DirectorRobert A. Sorensen
Laboratory Phone(208) 772-3208
Laboratory LocationHayden Vision Source8445 N Government Way, Hayden, ID 83835
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hayden Vision Center P.A.'s NPI number?

The NPI number for Hayden Vision Center P.A. is 1407975873. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Hayden Vision Center P.A. located?

Hayden Vision Center P.A. is located at 8445 N Government Way, Hayden, ID 83835. The listed phone number is (208) 772-3208.

What is Hayden Vision Center P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Hayden Vision Center P.A. enrolled in Medicare?

Yes. Hayden Vision Center P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hayden Vision Center P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Hayden Vision Center P.A.. 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.

Does Hayden Vision Center P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2026988) is associated with this NPI, valid through July 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hayden Vision Center P.A. accept?

Health plans from Molina Healthcare list Hayden Vision Center P.A. 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 Hayden Vision Center P.A. was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.