NPIMap

Organization Active NPI

Post Falls Vision Clinic PLLC

  • Optometrist
  • Post Falls, ID
National Provider Identifier
1851476493
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-499 Issued in ID
Legal business name
POST FALLS VISION CLINIC PLLC
Practice address
2525 E Seltice Way
Post Falls, ID 83854-5089
Phone
(208) 773-7434
Fax
(208) 777-0836
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Elwin W. Schutt, O.D.NPI 1598799801
Title
Optometrist/Owner
Phone
(208) 773-7434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ODP-499 ID Primary

Addresses

Primary practice location

2525 E Seltice Way
Post Falls, ID 83854-5089

Mailing address

2525 E Seltice Way
PO Box 997
Post Falls, ID 83854-5089
Phone (208) 773-7434

Other identifiers 2

IdentifierTypeStateIssuer
V7321OtherIDBLUE CROSS OF IDAHO
0430240001OtherIDMEDICARE DMERC

National Provider Directory

National Provider Directory

Locations

2525 E Seltice Way
Post Falls, ID 83854
Phone (208) 773-7434

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1851476493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E SELTICE WAY",
            "address_2": "PO BOX 997",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545089",
            "telephone_number": "208-773-7434",
            "fax_number": "208-777-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E SELTICE WAY",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545089",
            "telephone_number": "208-773-7434",
            "fax_number": "208-777-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST FALLS VISION CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "SCHUTT",
        "authorized_official_first_name": "ELWIN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "208-773-7434",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "V7321",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "0430240001",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.