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

Ammon Joel Vaterlaus, OD

Individual provider Optometrist · NPI 1477487346

Ammon Joel Vaterlaus, OD is an Optometrist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2026.

Licensed in
ID
In the registry since
2026
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4191 Poleline Rd Ste C
Pocatello, ID 83202-2402
Phone: (208) 239-7927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 6581915 (ID)

Record details

NPI number1477487346
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 8, 2026
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026

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