Hayden Vision Source PLLC
NPI 1548999840 · Optometrist · Hayden, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hayden Vision Source PLLC is a Optometrist organization in Hayden, ID (NPI 1548999840).
Provider details
- NPI number
- 1548999840
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Emily Putney, Credentialing Specialist(208) 772-3208
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
4 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
- Hayden Vision Source
Registry dates
- Enumerated
- 2022-06-10
- Last updated
- 2022-06-10
- Certified
- 2022-06-06
Frequently asked questions
- What is Hayden Vision Source PLLC's NPI number?
- Hayden Vision Source PLLC's National Provider Identifier (NPI) is 1548999840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hayden Vision Source PLLC?
- Hayden Vision Source PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Hayden Vision Source PLLC located?
- Hayden Vision Source PLLC's practice location on file with NPPES is 8445 N Government Way, Hayden, ID 83835-9349.
- What is Hayden Vision Source PLLC's phone number?
- The practice phone number listed in the NPPES registry for Hayden Vision Source PLLC is (208) 772-3208.
- Does Hayden Vision Source PLLC accept Medicare?
- Hayden Vision Source 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 Hayden Vision Source PLLC?
- The authorized official listed on Hayden Vision Source PLLC's NPPES record is Emily Putney, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hayden Vision Source PLLC's NPI active?
- Yes — Hayden Vision Source PLLC's NPI (1548999840) is active in the NPPES registry as of the last update on 2022-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.