Optometrist
KOOTENAI VISION, PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1386856284 · enumerated 2007-05-04 · record updated 2011-04-12. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. LANCE FAGAN O.D., Managing Member · (208) 667-2591
Other names: KOOTENAI VISION CENTER
Addresses and phones
- Mailing address 1801 N THIRD ST, COEUR D ALENE, ID, 83814 (208) 667-1591 Fax (208) 676-8574 Google Maps Apple Maps OpenStreetMap
- Practice location 1801 N THIRD ST, COEUR D ALENE, ID, 83814 (208) 667-1591 Fax (208) 676-8574 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X · Primary · License ODP1029 ID
In this directory
Locations and evidence
-
Practice location
COEUR D ALENE, ID, 83814
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.