NPI age
19 years
Enumerated 2007-05-04
● Active Type 2 · Organization
Kootenai Vision, Pllc
Kootenai Vision, Pllc is 1 of 598 optometrist organizations in Idaho.
Primary specialty
Optometrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fagan
Managing Member
Last NPPES update
2011-04-12
Source: monthly bulk 2026-05
How this organization compares
Across 598 active optometrist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1801 N Third St
Coeur D Alene, ID 83814
Mailing address
1801 N Third St
Coeur D Alene, ID 83814
Authorized official
Lance William Fagan, O.D.
Managing Member
📞 2086672591
Specialties
-
Optometrist PrimaryDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Kootenai Vision Center
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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