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

Kootenai Vision, PLLC

Organization Optometrist · NPI 1386856284

Kootenai Vision, PLLC is an Optometrist in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
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

1801 N Third St
Coeur D Alene, ID 83814
Phone: (208) 667-1591
Fax: (208) 676-8574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP1029 (ID)

Record details

NPI number1386856284
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lance Fagan — Managing Member · (208) 667-2591
Other names Kootenai Vision Center
NPI enumeratedMay 4, 2007
Last updated in NPPESApril 12, 2011
Mailing address1801 N Third St, Coeur D Alene, ID 83814

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