Kootenai Vision, PLLC
NPI 1386856284 · Optometrist · Coeur D Alene, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kootenai Vision, PLLC is a Optometrist organization in Coeur D Alene, ID (NPI 1386856284).
Provider details
- NPI number
- 1386856284
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Lance Fagan, Managing Member(208) 667-2591
- License
- ODP1029 (ID)
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
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
Mailing address
Other names (DBA / former)
- Doing business as
- Kootenai Vision Center
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2011-04-12
Frequently asked questions
- What is Kootenai Vision, PLLC's NPI number?
- Kootenai Vision, PLLC's National Provider Identifier (NPI) is 1386856284, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kootenai Vision, PLLC?
- Kootenai Vision, PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Kootenai Vision, PLLC located?
- Kootenai Vision, PLLC's practice location on file with NPPES is 1801 N Third St, Coeur D Alene, ID 83814.
- What is Kootenai Vision, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kootenai Vision, PLLC is (208) 667-1591.
- Does Kootenai Vision, PLLC accept Medicare?
- Kootenai 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 Kootenai Vision, PLLC?
- The authorized official listed on Kootenai Vision, PLLC's NPPES record is Lance Fagan, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kootenai Vision, PLLC's NPI active?
- Yes — Kootenai Vision, PLLC's NPI (1386856284) is active in the NPPES registry as of the last update on 2011-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.