Pend Oreille Vision Care

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PEND OREILLE VISION CARE

Practice address

514 Oak St Ste a
Sandpoint, ID 83864-1480

Phone

(208) 265-7965

Fax

(208) 265-7905

NPI assigned

Jul 25, 2012

Last updated

Mar 9, 2023By 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

Dr. Nathaneal Harrell, ODNPI 1437470457

Title

Owner/President

Phone

(208) 265-7965

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Pend Oreille Vision Care

  dba Priest River Eye Care

  • Optometrist
  • Priest River, ID
  • NPI 1104316785
  NPPES parent name

Practitioners 1

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.

• Nathaneal D Harrell, O.D.

  • Optometrist
  • Sandpoint, ID
  • NPI 1437470457
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1871849059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 OAK ST",
            "address_2": "UNIT A",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641480",
            "telephone_number": "208-265-7965",
            "fax_number": "208-265-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 OAK ST STE A",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641480",
            "telephone_number": "208-265-7965",
            "fax_number": "208-265-7905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6132 Highway 2",
            "address_purpose": "LOCATION",
            "city": "Priest River",
            "state": "ID",
            "postal_code": "83856",
            "country_code": "US",
            "telephone_number": "208-448-0144",
            "fax_number": "208-448-0147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEND OREILLE VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "NATHANEAL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-265-7965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paper Cranes Therapy
• Patricia Ann Morgan (Sleepro)
• Cassie Marguerite Peck, LCSW-33434
• Pend Oreille Midwifery Services
• Pend Oreille Radiology Inc
• Gregory D Pennock, MD
• Pennyfarthing LLC
• Percussionaire Corporation
• Shannon Marie Perkins Baker, LMSW
• Barbara Perusse, LCPC

• Clinic/Center in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.