HAYDEN VISION SOURCE PLLC
NPI 1548999840
Optometrist in Hayden, ID

Q: What is Hayden Vision Source PLLC's NPI number?

The NPI number for Hayden Vision Source PLLC is 1548999840. It was assigned to this organization in the NPPES registry on June 10, 2022. The provider is doing business as Hayden Vision Source.

Q: What is Hayden Vision Source PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since June 10, 2022

8445 N GOVERNMENT WAY, HAYDEN, ID 83835(208) 772-3208(208) 762-2574 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Hayden Vision Source Pllc NPPES

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

HAYDEN VISION SOURCE PLLC (NPI 1548999840), doing business as Hayden Vision Source, is a healthcare organization registered as an optometrist in Hayden, Idaho and active in the NPI registry since June 2022. The organization lists Emily Putney, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1548999840

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameHAYDEN VISION SOURCE PLLC

Location Address8445 N GOVERNMENT WAYHayden, ID 83835-9349

Mailing Address8445 N Government WayHayden, ID 83835-9349 · (208) 772-3208 · Fax (208) 762-2574

Phone(208) 772-3208

Fax(208) 762-2574

Organization SubpartNo

Authorized OfficialEmily PutneyCredentialing Specialist · (208) 772-3208

Enumeration DateJune 10, 2022

NPPES CertifiedJune 6, 2022

✔ NPI 1548999840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

8445 N GOVERNMENT WAY, Hayden, ID 83835

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Other Names 1

Doing Business AsHayden Vision Source

Other Identifiers 1

Medicaid1780345264ID

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

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYREL J BRUNEEL OD

Optometrist