Idaho Family Vision PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

IDAHO FAMILY VISION PLLC

Doing business as

Family Vision Associates

Practice address

2405 Jafer CT
Idaho Falls, ID 83404-5587

Phone

(208) 529-2700

Fax

(208) 529-0873

NPI assigned

Jan 15, 2025

Last updated

Feb 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cameron Keith Housley, ODNPI 1326656356

Title

Partner/Doctor

Phone

(208) 529-2700

Specialties & licenses 1

Addresses

Other names 1

• Family Vision Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cameron Keith Housley, OD

  • Optometrist
  • Idaho Falls, ID
  • NPI 1326656356
  Medicare reassignment Care Compare group NPD Authorized official
• Gary Steven Anderson

  • Optometrist
  • Pocatello, ID
  • NPI 1225868201
  Medicare reassignment Care Compare group NPD
• Jared Reese Ivie, O.D.

  • Optometrist
  • Idaho Falls, ID
  • NPI 1285862599
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1689485070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 JAFER CT",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045587",
            "telephone_number": "208-529-2700",
            "fax_number": "208-529-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 JAFER CT",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045587",
            "telephone_number": "208-529-2700",
            "fax_number": "208-529-0873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 S Arthur Ave",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832043307",
            "country_code": "US",
            "telephone_number": "208-232-6675",
            "fax_number": "208-232-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IDAHO FAMILY VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "HOUSLEY",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PARTNER/DOCTOR",
        "authorized_official_telephone_number": "208-529-2700",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Idaho Heart Physician Group PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.