OrganizationActive
Carmine Petracca
NPI 1649601006 · Health Service Clinic/Center · Lewiston, ID
Carmine Petracca is a Health Service Clinic/Center organization in Lewiston, ID (NPI 1649601006).
Provider details
- NPI number
- 1649601006
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carmine Petracca, Owner(208) 743-1761
- License
- ODP-634 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
939 Bryden Ave
Lewiston, ID 83501-5057
Phone: (208) 743-1761
Fax: (208) 746-8042
Street-level locationGet directions
Mailing address
939 Bryden Ave
Lewiston, ID 83501-5057
Other names (DBA / former)
- Doing business as
- Bryden Family Vision
Registry dates
- Enumerated
- 2013-12-10
- Last updated
- 2013-12-10
Frequently asked questions
- What is Carmine Petracca's NPI number?
- Carmine Petracca's National Provider Identifier (NPI) is 1649601006, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carmine Petracca?
- Carmine Petracca is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Carmine Petracca located?
- Carmine Petracca's practice location on file with NPPES is 939 Bryden Ave, Lewiston, ID 83501-5057.
- What is Carmine Petracca's phone number?
- The practice phone number listed in the NPPES registry for Carmine Petracca is (208) 743-1761.
- Who is the authorized official for Carmine Petracca?
- The authorized official listed on Carmine Petracca's NPPES record is Carmine Petracca, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Carmine Petracca's NPI active?
- Yes — Carmine Petracca's NPI (1649601006) is active in the NPPES registry as of the last update on 2013-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.