ST MARIES VISION CENTER
NPI 1780190694
Optometrist in St Maries, ID

Q: What is St Maries Vision Center, PLLC's NPI number?

The NPI number for St Maries Vision Center, PLLC is 1780190694. It was assigned to this organization in the NPPES registry on December 15, 2017. The provider is doing business as St Maries Vision Center.

Q: What is St Maries Vision Center, PLLC's specialty?

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

Active since December 15, 2017

704 W COLLEGE AVE, ST MARIES, ID 83861(208) 245-6563 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About St Maries Vision Center NPPES

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

ST MARIES VISION CENTER (NPI 1780190694) is a healthcare organization registered as an optometrist in St Maries, Idaho and active in the NPI registry since December 2017. The organization lists Lance William Fagan, Owner, as its authorized official.

NPPES Registry Identity

NPI1780190694

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameST MARIES VISION CENTER, PLLC

Location Address704 W COLLEGE AVESt Maries, ID 83861-1824

Mailing Address704 W College AveSt Maries, ID 83861-1824 · (208) 245-6563

Phone(208) 245-6563

Organization SubpartNo

Authorized OfficialLance William FaganOwner · (208) 245-6563

Enumeration DateDecember 15, 2017

✔ NPI 1780190694 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 · ODP1029

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.

704 W COLLEGE AVE, St Maries, ID 83861

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Other Names 1

Doing Business AsSt Maries Vision Center

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 BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES

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

PANHANDLE EYE CLINICS CHARTERED

Eyewear Supplier

704 W COLLEGE AVE
ST MARIES, ID 83861

Benewah County (208) 245-6563

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 St Maries Vision Center, PLLC's NPI number?

The NPI number for St Maries Vision Center, PLLC is 1780190694. It was assigned to this organization in the NPPES registry on December 15, 2017. The provider is doing business as St Maries Vision Center.

Where is St Maries Vision Center, PLLC located?

St Maries Vision Center, PLLC is located at 704 W College Ave, St Maries, ID 83861. The listed phone number is (208) 245-6563.

What is St Maries Vision Center, PLLC's specialty?

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

What insurance does St Maries Vision Center, PLLC accept?

Health plans from BlueCross BlueShield of Tennessee list St Maries Vision Center, 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 St Maries Vision Center, PLLC was last updated on December 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.