Viva Enterprises

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP602 Issued in ID

Legal business name

VIVA ENTERPRISES

Doing business as

Sandpoint Optometry & Thomas M Wiley OD

Practice address

1333 Superior St
Sandpoint, ID 83864

Phone

(208) 265-4140

Fax

(208) 265-4448

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Marvin Wiley, OD

Title

Partner

Phone

(208) 265-4140

Specialties & licenses 1

Addresses

Other names 1

• Sandpoint Optometry & Thomas M Wiley OD Doing business as

Locations

Practitioners 3

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

• Terri L Haley, O.D.

  • Optometrist
  • Sandpoint, ID
  • NPI 1114929817
  NPD (past)
• Don C. H. Henker, O.D.

  • Optometrist
  • Sandpoint, ID
  • NPI 1225386659
  NPD (past)
• Whitney Camille Henker, O.D.

  • Optometrist
  • Sandpoint, ID
  • NPI 1952667875
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1487764981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 SUPERIOR ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "83864",
            "telephone_number": "208-265-4140",
            "fax_number": "208-265-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 SUPERIOR ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "83864",
            "telephone_number": "208-265-4140",
            "fax_number": "208-265-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "208-265-4140",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandpoint Optometry & Thomas M Wiley OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Echo T Vanderwal, PA
• Harry Ralph Vanderwal Jr., MD
• Joseph Anthony Velazquez, LMFT
• Kimberley Lorraine Velazquez, MSW
• Henry L Verdugo, LCSW
• Andrew Benjamin Vizcarra, M.D.
• Tara Leigh Weeks Vizcarra, M.D.
• Attea Voigt
• Karen Elizabeth Vollmer-Poseley, LPC
• Marc Vroman, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.