Bonneville Vision, PLLC
NPI 1093367971 · Optometrist · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bonneville Vision, PLLC is a Optometrist organization in Idaho Falls, ID (NPI 1093367971).
Provider details
- NPI number
- 1093367971
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Nathan Housley, Managing Member(208) 523-3937
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-07-11
- Last updated
- 2019-07-11
Frequently asked questions
- What is Bonneville Vision, PLLC's NPI number?
- Bonneville Vision, PLLC's National Provider Identifier (NPI) is 1093367971, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bonneville Vision, PLLC?
- Bonneville Vision, PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Bonneville Vision, PLLC located?
- Bonneville Vision, PLLC's practice location on file with NPPES is 838 S Woodruff Ave, Idaho Falls, ID 83401-5296.
- What is Bonneville Vision, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Bonneville Vision, PLLC is (208) 523-3937.
- Does Bonneville Vision, PLLC accept Medicare?
- Bonneville Vision, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bonneville Vision, PLLC?
- The authorized official listed on Bonneville Vision, PLLC's NPPES record is Nathan Housley, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bonneville Vision, PLLC's NPI active?
- Yes — Bonneville Vision, PLLC's NPI (1093367971) is active in the NPPES registry as of the last update on 2019-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.