Organization Active NPI

Center for Vision and Learning, PLLC

Doing business as Center for Vision and Learning

  • Optometrist
  • Idaho Falls, ID
National Provider Identifier
1851641104
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
O466D Issued in ID
Legal business name
CENTER FOR VISION AND LEARNING, PLLC
Doing business as
Center for Vision and Learning
Practice address
760 S Woodruff Ave
Idaho Falls, ID 83401-5285
Phone
(208) 529-2701
Fax
(208) 525-9367
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Alona M. King, O.D.
Title
Owner
Phone
(208) 529-2701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X O466D ID Primary

Addresses

Primary practice location

760 S Woodruff Ave
Idaho Falls, ID 83401-5285

Mailing address

760 S Woodruff Ave
Idaho Falls, ID 83401-5285
Phone (208) 529-2701

Other identifiers 1

IdentifierTypeStateIssuer
1591462MedicaidID

Other names 1

  • Center for Vision and Learning Doing business as

National Provider Directory

National Provider Directory

Locations

760 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 529-2701

Practitioners & affiliated clinicians

Practitioners 2

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": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1851641104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015285",
            "telephone_number": "208-529-2701",
            "fax_number": "208-525-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015285",
            "telephone_number": "208-529-2701",
            "fax_number": "208-525-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR VISION AND LEARNING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ALONA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-529-2701",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "O466D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1591462",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Vision and Learning",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.