Salmon River Vision Clinic, PLLC
NPI 1396018461ActiveOrganization· Optometrist· Salmon, ID
Optometrist in Salmon, Idaho, registered in NPPES in February 2012. The authorized official on file is Dustin James Jones, O.D., Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1396018461 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 20, 2012 |
| Last updated in NPPES | Apr 26, 2023 |
| Certified by provider | Apr 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | ODP-100011 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (ID); Part B Supplier - Clinic/Group Practice (ID) |
|---|
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