Hayden Vision Source PLLC
NPI 1548999840ActiveOrganization· Optometrist· Hayden, ID
Optometrist in Hayden, Idaho, registered in NPPES in June 2022. The authorized official on file is Emily Putney, CPC, Credentialing Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548999840 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 10, 2022 |
| Last updated in NPPES | Jun 10, 2022 |
| Certified by provider | Jun 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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