OrganizationActive
Hayden Vision Source PLLC
NPI 1780345264 · Optometrist · Hayden, ID
Hayden Vision Source PLLC is a Optometrist organization in Hayden, ID (NPI 1780345264).
Provider details
- NPI number
- 1780345264
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Tyrel Bruneel, Owner(208) 772-3208
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(61/100 index)
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
8445 N Government Way
Hayden, ID 83835-9349
Phone: (208) 772-3208
Fax: (208) 762-2574
Street-level locationGet directions
Mailing address
8445 N Government Way
Hayden, ID 83835-9349
Registry dates
- Enumerated
- 2022-01-06
- Last updated
- 2022-07-06
- Certified
- 2022-07-06
Frequently asked questions
- What is Hayden Vision Source PLLC's NPI number?
- Hayden Vision Source PLLC's National Provider Identifier (NPI) is 1780345264, 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.
- Who is the authorized official for Hayden Vision Source PLLC?
- The authorized official listed on Hayden Vision Source PLLC's NPPES record is Tyrel Bruneel, Owner. 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 (1780345264) is active in the NPPES registry as of the last update on 2022-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.