EMMETT VISION CENTER
NPI 1811269350
Optometrist in Emmett, ID

Active since January 30, 2012CLIA 13D2145244 · Waiver
1108 S WASHINGTON AVE, EMMETT, ID 83617(208) 365-2020(208) 365-3854 Get Directions Write a Review

NPPES record last updated: March 14, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Emmett Vision Center NPPES

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

EMMETT VISION CENTER (NPI 1811269350) is a healthcare organization registered as an optometrist in Emmett, Idaho and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Trenton Warner, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1811269350
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEMMETT EYE CENTER, PLLC
Location Address1108 S WASHINGTON AVEEmmett, ID 83617-3535
Mailing Address1108 S Washington AveEmmett, ID 83617-3535 · (208) 365-2020 · Fax (208) 365-3854
Fax(208) 365-3854
Organization SubpartNo
Authorized OfficialTrenton WarnerOwner/president · (208) 365-2020
Enumeration DateJanuary 30, 2012
Last NPPES UpdateMarch 14, 2014
✔ NPI 1811269350 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 100-152
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.
1108 S WASHINGTON AVE, Emmett, ID 83617

Other Names 1

Doing Business AsEmmett 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

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)

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

Medicare Revalidation Due Date

Revalidation due by December 31, 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 IDO20120220000774Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Emmett Vision Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Optometry
NPI 1184823049
1108 S WASHINGTON AVE
Emmett, ID 83617
(208) 365-2020
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1720436744
1108 S WASHINGTON AVE
Emmett, ID 83617
(208) 365-2020
✔ PECOS0.1 mi
Optometry
NPI 1164915534
1108 S WASHINGTON AVE
Emmett, ID 83617
(208) 365-4531
✔ PECOS✔ Accepts Medicare0.1 mi
Optometry
NPI 1134416787
310 2ND ST S
Nampa, ID 83651
(208) 467-1361
✔ PECOS20 mi
Optometry
NPI 1891789368
2745 AMERICAN LEGION BLVD
Mountain Home, ID 83647
(208) 587-0974
✔ PECOS✔ Accepts Medicare65 mi
Optometry
NPI 1407235948
307 S 1ST AVE
Sandpoint, ID 83864
(208) 263-8501
✔ PECOS✔ Accepts Medicare304 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2145244

Emmett Eye Center · Emmett, ID
Active · expires Mar 4, 2028
CLIA Number13D2145244
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorTrenton G. Warner
Laboratory Phone(208) 365-2020
Laboratory LocationEmmett Eye Center1108 S Washington Ave, Emmett, ID 83617
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Emmett Eye Center, PLLC's NPI number?

The NPI number for Emmett Eye Center, PLLC is 1811269350. It was assigned to this organization in the NPPES registry on January 30, 2012. The provider is doing business as Emmett Vision Center.

Where is Emmett Eye Center, PLLC located?

Emmett Eye Center, PLLC is located at 1108 S Washington Ave, Emmett, ID 83617. The listed phone number is (208) 365-2020.

What is Emmett Eye Center, PLLC's specialty?

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

Is Emmett Eye Center, PLLC enrolled in Medicare?

Yes. Emmett Eye Center, PLLC is registered in the Medicare PECOS enrollment system.

When is Emmett Eye Center, 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 December 31, 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 Emmett Eye Center, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Emmett Eye Center, 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 at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Emmett Eye Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2145244) is associated with this NPI, valid through March 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Emmett Eye Center, PLLC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Emmett Eye 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 Emmett Eye Center, PLLC was last updated on March 14, 2014. 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.