Dr Wendell R Fackrell PLLC
NPI 1801171293 · Optometrist · Chubbuck, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dr Wendell R Fackrell PLLC is a Optometrist organization in Chubbuck, ID (NPI 1801171293).
Provider details
- NPI number
- 1801171293
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Wendell Fackrell, Optometrist, Owner(801) 722-5380
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
14 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
Registry dates
- Enumerated
- 2011-10-17
- Last updated
- 2011-10-17
Frequently asked questions
- What is Dr Wendell R Fackrell PLLC's NPI number?
- Dr Wendell R Fackrell PLLC's National Provider Identifier (NPI) is 1801171293, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Wendell R Fackrell PLLC?
- Dr Wendell R Fackrell PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Dr Wendell R Fackrell PLLC located?
- Dr Wendell R Fackrell PLLC's practice location on file with NPPES is 4145 Yellowstone Ave, Chubbuck, ID 83202-2421.
- What is Dr Wendell R Fackrell PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dr Wendell R Fackrell PLLC is (801) 722-5380.
- Does Dr Wendell R Fackrell PLLC accept Medicare?
- Dr Wendell R Fackrell 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 Dr Wendell R Fackrell PLLC?
- The authorized official listed on Dr Wendell R Fackrell PLLC's NPPES record is Wendell Fackrell, Optometrist, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Wendell R Fackrell PLLC's NPI active?
- Yes — Dr Wendell R Fackrell PLLC's NPI (1801171293) is active in the NPPES registry as of the last update on 2011-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.