Advanced Vision Therapy Center LLC
NPI 1669808846ActiveOrganization· Optometrist, Vision Therapy· Boise, ID
Optometrist, Vision Therapy in Boise, Idaho, registered in NPPES in September 2013. The authorized official on file is Kendall Johnson, Manager.
Overview
| NPI | 1669808846 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2013 |
| Last updated in NPPES | Sep 19, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist, Vision Therapy Primary | 152WV0400X | — | — |
| Optometrist, Sports Vision | 152WS0006X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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