Hayden Vision Center P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0661 Issued in ID

Legal business name

HAYDEN VISION CENTER P.A.

Practice address

8445 N Government Way
Hayden, ID 83835-9280

Phone

(208) 772-3208

Fax

(208) 762-2574

NPI assigned

Mar 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Debra L Stoenner, O.D

Title

Owner

Phone

(208) 772-3208

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyrel J Bruneel, OD

  • Optometrist
  • Hayden, ID
  • NPI 1013575851
  Medicare reassignment NPD
• Jett Scrimsher, OD

  • Optometrist
  • Hayden, ID
  • NPI 1912524513
  Medicare reassignment NPD
• Robert A Sorensen, O.D.

  • Optometrist
  • Hayden, ID
  • NPI 1356335897
  Medicare reassignment NPD
• Anna Harding, O.D.

  • Optometrist
  • Livermore, CA
  • NPI 1295187458

  ID

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1407975873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8445 N GOVERNMENT WAY",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359280",
            "telephone_number": "208-772-3208",
            "fax_number": "208-762-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8445 N GOVERNMENT WAY",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359280",
            "telephone_number": "208-772-3208",
            "fax_number": "208-762-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYDEN VISION CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "STOENNER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-772-3208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": "0661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayden Family Foot and Ankle Clinic, PLLC
• Hayden Lake Anesthesia PLLC
• Hayden Lake Chiropractic PA
• Hayden Lake Family Dental PLLC
• Hayden Vision Center
• Hayden Vision Source PLLC
• Hayden Vision Source PLLC
• Jason Head
• Heal PLLC
• Healing Hub LLC

• Specialist in Hayden, ID
• Providers in Hayden, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.