OrganizationActive

Total Vision PA

NPI 1447328463 · Corneal and Contact Management Optometrist · Caldwell, ID

Provider details

NPI number: 1447328463
Entity type: Organization
Primary specialty: Corneal and Contact Management OptometristEye and Vision Services Providers
Organization subpart: No
Authorized official: Sheree Shannon, Administrative Assistant(208) 459-2641
License: ODP100163 (ID)

Corneal and Contact Management OptometristPrimary152WC0802XLicense ODP-579 (ID)
Eye and Vision Services Providers
Optometrist152W00000XLicense ODP100163 (ID)
Eye and Vision Services Providers
Corneal and Contact Management Optometrist152WC0802XLicense ODP100163 (ID)
Eye and Vision Services Providers
Pediatric Optometrist152WP0200XLicense ODP100163 (ID)
Eye and Vision Services Providers
Low Vision Rehabilitation Optometrist152WL0500XLicense ODP100163 (ID)
Eye and Vision Services Providers
Occupational Vision Optometrist152WX0102X

1702 S Kimball Ave

Caldwell, ID 83605-4826

Phone: (208) 459-2641

Fax: (208) 459-2895

Approximate (ZIP-level) locationGet directions

1702 S Kimball Ave

Caldwell, ID 83605-4826

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.