Ammon Joel Vaterlaus, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6581915 Issued in ID

Practice address

4191 Poleline Rd Ste C
Pocatello, ID 83202-2402

Phone

(208) 239-7927

NPI assigned

Jun 8, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1477487346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4191 POLELINE RD STE C",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832022402",
            "telephone_number": "208-239-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4191 POLELINE RD STE C",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832022402",
            "telephone_number": "208-239-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATERLAUS",
        "first_name": "AMMON",
        "middle_name": "JOEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "6581915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Marie Vanosdol
• Ashley Vargas, LPC
• Rebecca L Vasas, OT
• Julio Cesar Vasquez, M.D.
• Peyton Vasquez
• Bryson Kay Vaughan, LPC
• Joni D Vaughn Powell, RPT
• Randy Paul Vawdrey, NP
• Cory Veigel, DMD
• Vera Whole Health Wa PC

• Optometrist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.