OrganizationActive
Eye Clinic of Sandpoint PA
NPI 1104957612 · Eyewear Supplier · Sandpoint, ID
Eye Clinic of Sandpoint PA is a Eyewear Supplier organization in Sandpoint, ID (NPI 1104957612).
Provider details
- NPI number
- 1104957612
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jason Petersen, Physician-Owner(208) 263-8501
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
307 S 1st Ave
Sandpoint, ID 83864-1201
Phone: (208) 263-8501
Street-level locationGet directions
Mailing address
307 S 1st Ave
Sandpoint, ID 83864-1201
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2018-02-15
Frequently asked questions
- What is Eye Clinic of Sandpoint PA's NPI number?
- Eye Clinic of Sandpoint PA's National Provider Identifier (NPI) is 1104957612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eye Clinic of Sandpoint PA?
- Eye Clinic of Sandpoint PA is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Eye Clinic of Sandpoint PA located?
- Eye Clinic of Sandpoint PA's practice location on file with NPPES is 307 S 1st Ave, Sandpoint, ID 83864-1201.
- What is Eye Clinic of Sandpoint PA's phone number?
- The practice phone number listed in the NPPES registry for Eye Clinic of Sandpoint PA is (208) 263-8501.
- Who is the authorized official for Eye Clinic of Sandpoint PA?
- The authorized official listed on Eye Clinic of Sandpoint PA's NPPES record is Jason Petersen, Physician-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eye Clinic of Sandpoint PA's NPI active?
- Yes — Eye Clinic of Sandpoint PA's NPI (1104957612) is active in the NPPES registry as of the last update on 2018-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.