CARMINE PETRACCA is a health service clinic center in Lewiston, ID. CARMINE PETRACCA NPI is 1649601006. The provider is registered as an organization entity type. The provider Is Doing Business As Bryden Family Vision.
The provider's business location address is:
939 BRYDEN AVE LEWISTON, ID ZIP 83501-057 Phone: (208) 743-1761 Fax: (208) 746-8042
The provider's authorized official is Carmine Petracca . The authorized official title is Owner and has the following contact phone number (208) 743-1761.
The enumeration date for this NPI number is 12/10/2013 and was last updated on 12/10/2013.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
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