DR WENDELL R FACKRELL PLLC
NPI 1801171293
Optometrist in Chubbuck, ID

Q: What is Dr Wendell R Fackrell PLLC's NPI number?

The NPI number for Dr Wendell R Fackrell PLLC is 1801171293. It was assigned to this organization in the NPPES registry on October 17, 2011.

Q: What is Dr Wendell R Fackrell PLLC's specialty?

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

Active since October 17, 2011

4145 YELLOWSTONE AVE, CHUBBUCK, ID 83202(801) 722-5380 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr Wendell R Fackrell Pllc NPPES

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

DR WENDELL R FACKRELL PLLC (NPI 1801171293) is a healthcare organization registered as an optometrist in Chubbuck, Idaho and active in the NPI registry since October 2011. The organization lists Wendell Fackrell, Optometrist, Owner, as its authorized official.

NPPES Registry Identity

NPI1801171293

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDR WENDELL R FACKRELL PLLC

Location Address4145 YELLOWSTONE AVEChubbuck, ID 83202-2421

Mailing Address4145 Yellowstone AveChubbuck, ID 83202-2421

Phone(801) 722-5380

Organization SubpartNo

Authorized OfficialWendell FackrellOptometrist, Owner · (801) 722-5380

Enumeration DateOctober 17, 2011

✔ NPI 1801171293 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.

4145 YELLOWSTONE AVE, Chubbuck, ID 83202

Open in Google Maps ↗

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

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

GEM PREP POCATELLO, INC

Local Education Agency (LEA)

4145 YELLOWSTONE AVE
CHUBBUCK, ID 83202

Bannock County (208) 877-1513

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 Dr Wendell R Fackrell PLLC's NPI number?

The NPI number for Dr Wendell R Fackrell PLLC is 1801171293. It was assigned to this organization in the NPPES registry on October 17, 2011.

Where is Dr Wendell R Fackrell PLLC located?

Dr Wendell R Fackrell PLLC is located at 4145 Yellowstone Ave, Chubbuck, ID 83202. The listed phone number is (801) 722-5380.

What is Dr Wendell R Fackrell PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Dr Wendell R Fackrell PLLC was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.