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

Hayden Vision Source PLLC

Organization Optometrist · NPI 1548999840

Hayden Vision Source PLLC is an Optometrist in Hayden, Idaho. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8445 N Government Way
Hayden, ID 83835-9349
Phone: (208) 772-3208
Fax: (208) 762-2574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1548999840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily Putney — Credentialing Specialist · (208) 772-3208
Other names Hayden Vision Source
NPI enumeratedJune 10, 2022
Last updated in NPPESJune 10, 2022
Certification dateJune 6, 2022
Mailing address8445 N Government Way, Hayden, ID 83835-9349

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