| Pend Oreille Vision Care | |
|
6132 Highway 2 Priest River ID 83856 | |
| (208) 448-0144 | |
| (208) 448-0147 |
| Full Name | Pend Oreille Vision Care |
|---|---|
| Speciality | Optometrist |
| Location | 6132 Highway 2, Priest River, Idaho |
| Authorized Official Name and Position | Nathaneal Harrell (OWNER/PRESIDENT) |
| Authorized Official Contact | 2082657965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pend Oreille Vision Care 514 Oak St Ste A Sandpoint ID 83864-1480 Ph: (208) 265-7965 | Pend Oreille Vision Care 6132 Highway 2 Priest River ID 83856 Ph: (208) 448-0144 |
| NPI Number | 1104316785 |
|---|---|
| Provider Enumeration Date | 05/18/2018 |
| Last Update Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104316785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
Boundary Regional Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6509 Highway 2, Suite 101, Priest River, ID 83856 Phone: 208-448-2321 Fax: 208-448-1317 |