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

Dr. Lance William Fagan, OD

Individual provider Optometrist · NPI 1891775151

Dr. Lance William Fagan, OD is an Optometry in Coeur D Alene, Idaho. Graduated from Pacific University - College of Optometry in 2000, 26 years ago. Practices with Kootenai Vision PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
26
Trained at
Pacific University - College of Optometry
Licensed in
ID
In the registry since
2006
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

1801 N 3rd St
Coeur D Alene, ID 83814-3400
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 IDP1029 (ID)

Record details

NPI number1891775151
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJanuary 20, 2006
Last updated in NPPESApril 12, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2000 (26 years in practice)
Group practice Kootenai Vision Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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