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BRYDEN FAMILY VISION
NPI 1649601006
Clinic/Center - Health Service in Lewiston, ID

Active since December 10, 2013
939 BRYDEN AVE, LEWISTON, ID 83501(208) 743-1761(208) 746-8042 Get Directions Write a Review

NPPES record last updated: December 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bryden Family Vision NPPES

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

BRYDEN FAMILY VISION (NPI 1649601006) is a healthcare organization registered as a health service in Lewiston, Idaho and active in the NPI registry since December 2013. The organization lists Carmine Petracca, Owner, as its authorized official.

NPPES Registry Identity

NPI1649601006
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCARMINE PETRACCA
Location Address939 BRYDEN AVELewiston, ID 83501-5057
Mailing Address939 Bryden AveLewiston, ID 83501-5057 · (208) 743-1761 · Fax (208) 746-8042
Phone(208) 743-1761
Fax(208) 746-8042
Organization SubpartNo
Authorized OfficialCarmine PetraccaOwner · (208) 743-1761
Enumeration DateDecember 10, 2013
✔ NPI 1649601006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in ID · ODP-634
939 BRYDEN AVE, Lewiston, ID 83501
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Other Names 1

Doing Business AsBryden Family Vision

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 5

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

DR. JAMES E PIERCE DDS
Dentist
939 BRYDEN AVE, #2
LEWISTON, ID 83501
Nez Perce County (208) 746-0204
DR. RANDY LEE SORENSEN D.M.D.
Dentist
939 BRYDEN AVE
LEWISTON, ID 83501
Nez Perce County (208) 746-2668
BRYDEN FAMILY VISION
Optometrist
939 BRYDEN AVE
LEWISTON, ID 83501
Nez Perce County (208) 743-1761
JASON SCOTT RITTER
Optometrist
939 BRYDEN AVE
LEWISTON, ID 83501
Nez Perce County (208) 743-1761
RANDY L. SORENSEN DMD PA
Dentist
939 BRYDEN AVE
LEWISTON, ID 83501
Nez Perce County (208) 746-2668

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 Carmine Petracca's NPI number?

The NPI number for Carmine Petracca is 1649601006. It was assigned to this organization in the NPPES registry on December 10, 2013. The provider is doing business as Bryden Family Vision.

Where is Carmine Petracca located?

Carmine Petracca is located at 939 Bryden Ave, Lewiston, ID 83501. The listed phone number is (208) 743-1761.

What is Carmine Petracca's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

What insurance does Carmine Petracca accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Carmine Petracca 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 Carmine Petracca was last updated on December 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.