ALPINE VISION CENTER
NPI 1710276324
Optometrist in Lewiston, ID

Active since April 04, 2011
739 BRYDEN AVE STE A, LEWISTON, ID 83501(208) 743-5830(208) 743-5831 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alpine Vision Center NPPES

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

ALPINE VISION CENTER (NPI 1710276324), doing business as Wilson Polito Inc., is a healthcare organization registered as an optometrist in Lewiston, Idaho and active in the NPI registry since April 2011. The organization maintains a secondary practice location in Moscow and lists Nathan Wilson, Optometrist/president, as its authorized official.

NPPES Registry Identity

NPI1710276324
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWILSON POLITO PLLC
Location Address739 BRYDEN AVE STE ALewiston, ID 83501-4909
Mailing Address872 Troy Rd Ste 130Moscow, ID 83843-5035 · (720) 212-8821
Fax(208) 743-5831
Organization SubpartNo
Authorized OfficialNathan WilsonOptometrist/president · (720) 212-8821
Enumeration DateApril 4, 2011
Last NPPES UpdateNovember 6, 2020
NPPES CertifiedNovember 6, 2020
✔ NPI 1710276324 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 · ODP-100222
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.
739 BRYDEN AVE STE A, Lewiston, ID 83501

Other Names 2

Other NameAlpine Vision Center
Former Legal Business NameWilson Polito Inc.

Secondary Practice Location 1

Location 1872 Troy Rd Ste 130Moscow, ID 83843-5035 · Phone (720) 212-8821

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20110615000542Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Alpine Vision Center, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Optometry
NPI 1114410305
739 BRYDEN AVE STE A
Lewiston, ID 83501
(208) 743-5830
✔ PECOS✔ Accepts Medicare0.1 mi
Optometry
NPI 1124373410
872 TROY RD STE 130
Moscow, ID 83843
(208) 883-1800
✔ PECOS✔ Accepts Medicare24 mi
Optometry
NPI 1427755511
1844 W PULLMAN RD
Moscow, ID 83843
(208) 883-1800
✔ PECOS✔ Accepts Medicare24 mi
Optometry
NPI 1538019633
1844 W PULLMAN RD
Moscow, ID 83843
(208) 883-1800
✔ PECOS✔ Accepts Medicare24 mi
Optometry
NPI 1619255262
427 S BERNARD ST
Spokane, WA 99204
(509) 456-0107
✔ PECOS✔ Accepts Medicare90 mi
Optometry
NPI 1306947874
10669 MELODY DR
Northglenn, CO 80234
(303) 452-9312
✔ PECOS753 mi
Optometry
NPI 1164523643
10669 MELODY DR
Northglenn, CO 80234
(303) 452-9312
✔ PECOS✔ Accepts Medicare753 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 Wilson Polito PLLC's NPI number?

The NPI number for Wilson Polito PLLC is 1710276324. It was assigned to this organization in the NPPES registry on April 4, 2011. The provider is also known as Alpine Vision Center. The provider was formerly known as Wilson Polito Inc..

Where is Wilson Polito PLLC located?

Wilson Polito PLLC is located at 739 Bryden Ave Ste A, Lewiston, ID 83501. The listed phone number is (208) 743-5830.

What is Wilson Polito PLLC's specialty?

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

Is Wilson Polito PLLC enrolled in Medicare?

Yes. Wilson Polito PLLC is registered in the Medicare PECOS enrollment system.

When is Wilson Polito 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 November 30, 2026. 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 Wilson Polito PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to Wilson Polito 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wilson Polito PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Wilson Polito PLLC 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 Wilson Polito PLLC was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.