COEUR DALENE VISION SOURCE
NPI 1598881351
Optometrist in Coeur D Alene, ID

Q: What is Coeur Dalene Vision Source's NPI number?

The NPI number for Coeur Dalene Vision Source is 1598881351. It was assigned to this organization in the NPPES registry on March 22, 2007.

Q: What is Coeur Dalene Vision Source's specialty?

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

Active since March 22, 2007

3879 N SCHREIBER WAY, COEUR D ALENE, ID 83815(208) 765-2020(208) 765-1460 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2023, Mar 14, 2023 (2 updates tracked since 2023).

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About Coeur Dalene Vision Source NPPES

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

COEUR DALENE VISION SOURCE (NPI 1598881351) is a healthcare organization registered as an optometrist in Coeur D Alene, Idaho and active in the NPI registry since March 2007. The organization lists Raymond Karl Greene, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1598881351

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameCOEUR DALENE VISION SOURCE

Location Address3879 N SCHREIBER WAYCoeur D Alene, ID 83815-8362

Mailing Address3879 N Schreiber WayCoeur D Alene, ID 83815-8362 · (208) 765-2020 · Fax (208) 765-1460

Phone(208) 765-2020

Fax(208) 765-1460

Organization SubpartNo

Authorized OfficialRaymond Karl GreeneOptometrist · (208) 765-2020

Enumeration DateMarch 22, 2007

Last NPPES UpdateJune 19, 20232 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1598881351 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 · ODP845

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.

3879 N SCHREIBER WAY, Coeur D Alene, ID 83815

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Other Identifiers 1

Medicaid807085000ID

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Molina Healthcare, Premera Blue Cross Blue Shield of Alaska.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)

Coeur Dalene Vision Source is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coeur Dalene Vision Source, which bills Medicare for the services this clinician delivers.

Clinician (1)

Raymond Greene, OD

Optometry

NPI 1689669798

850 W IRONWOOD DR SUITE 104
Coeur D Alene, ID 83814

(208) 765-2020

✔ PECOS✔ Accepts Medicare1.3 mi

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 Coeur Dalene Vision Source's NPI number?

The NPI number for Coeur Dalene Vision Source is 1598881351. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Coeur Dalene Vision Source located?

Coeur Dalene Vision Source is located at 3879 N Schreiber Way, Coeur D Alene, ID 83815. The listed phone number is (208) 765-2020.

What is Coeur Dalene Vision Source's specialty?

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

Is Coeur Dalene Vision Source enrolled in Medicare?

Yes. Coeur Dalene Vision Source is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coeur Dalene Vision Source?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Coeur Dalene Vision Source. 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.

What insurance does Coeur Dalene Vision Source accept?

Health plans from Ambetter Health, Molina Healthcare and Premera Blue Cross Blue Shield of Alaska list Coeur Dalene Vision Source 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 Coeur Dalene Vision Source was last updated on June 19, 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.