NPI age
12 years
Enumerated 2013-09-19
● Active Type 2 · Organization
Advanced Vision Therapy Center Llc
Advanced Vision Therapy Center Llc is 1 of 5 optometrist organizations in Idaho.
Primary specialty
Optometrist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Manager
Last NPPES update
2013-09-19
Source: monthly bulk 2026-05
How this organization compares
Across 5 active optometrist providers in Idaho.
NPI age
12 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 60% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-09Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
7960 W Rifleman St, Suite 150
Boise, ID 837049064
Mailing address
7960 W Rifleman St, Suite 150
Boise, ID 837049064
Authorized official
Kendall Johnson
Manager
📞 2083771310
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Susan Devine, OT/L Technician/Technologist NPI 1376973826
- Jeffrey Johnson, O.D. Optometrist NPI 1326129420
- Ryan Johnson, O.D Optometrist NPI 1366706525
- Jill Kronberg, O.D. Optometrist NPI 1588914071
- Anna Onken Occupational Therapist NPI 1497438295
Specialties
-
Optometrist PrimaryOptometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific...
-
OptometristAn optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear...
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.