Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eye Clinic of Sandpoint PA

Organization Eyewear Supplier · NPI 1104957612

Eye Clinic of Sandpoint PA is an Eyewear Supplier in Sandpoint, Idaho. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

307 S 1st Ave
Sandpoint, ID 83864-1201
Phone: (208) 263-8501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1104957612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Petersen — Physician-Owner · (208) 263-8501
NPI enumeratedMarch 8, 2007
Last updated in NPPESFebruary 15, 2018
Mailing address307 S 1st Ave, Sandpoint, ID 83864-1201