P Praxis·MD
● Active Type 2 · Organization

Coeur Dalene Vision Source

Optometrist·Coeur D Alene, ID· NPI 1598881351 · Enumerated 2007 · 19 years on NPI
Coeur Dalene Vision Source is 1 of 598 optometrist organizations in Idaho.
NPI age
19 years
Enumerated 2007-03-22
Primary specialty
Optometrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Greene
Optometrist
Last NPPES update
2023-06-19
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

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
3879 N Schreiber Way
Coeur D Alene, ID 838158362
📞 2087652020fax 2087651460
Mailing address
3879 N Schreiber Way
Coeur D Alene, ID 838158362
📞 2087652020fax 2087651460

Authorized official

Raymond Karl Greene, OD
Optometrist
📞 2087652020

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Optometrist Primary
    Doctors 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...
    ID license #ODP845 taxonomy 152W00000X

Identifiers

TypeValueNotes
05 (ID) 807085000

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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