Organization
PEND OREILLE VISION CARE
Active
Parent organization
PEND OREILLE VISION CARE
Other names
Priest River Eye Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEND OREILLE VISION CARE
Authorized official
DR. NATHANEAL HARRELL OD (OWNER/PRESIDENT)
(208) 265-7965
Entity
Organization
Contact information
Practice address
6132 HIGHWAY 2, PRIEST RIVER, ID 83856
(208) 448-0144
(208) 448-0147
Mailing address
514 OAK ST STE A, SANDPOINT, ID 83864-1480
(208) 265-7965
(208) 265-7905
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
05/18/2018
Last updated
03/09/2023
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