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EYE CARE SPECIALISTS PS NPI 1639160450


NPI Information

NPI: 1639160450
Provider Name: EYE CARE SPECIALISTS PS

Doing Business As: THE LASER & SURGERY CENTER

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
500 PORT DR
CLARKSTON, WA
ZIP 99403
Phone: (509) 758-8811
Get Directions

EYE CARE SPECIALISTS PS is an ophthalmology in Clarkston, WA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. EYE CARE SPECIALISTS PS NPI is 1639160450. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Laser & Surgery Center.

The provider's business location address is:

500 PORT DR
CLARKSTON, WA
ZIP 99403-835
Phone: (509) 758-8811
Fax: (509) 751-1188

The provider's authorized official is Mark T Eggleston .
The authorized official title is President and has the following contact phone number (509) 758-8811.

The enumeration date for this NPI number is 11/1/2005 and was last updated on 4/30/2008.


Taxonomy Codes

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000010006387OTHERFEDERAL BLUE CROSS
2QMXPR0064816OTHERWASHINGTONMOLINA HEALTHCARE
385977OTHERIDAHOBLUE CROSS OF IDAHO
40123143OTHERWASHINGTONLABOR & INDUSTRY
5000010006385OTHERIDAHOREGENCE BLUE SHIELD OF IDAHO
61375873MEDICARE PINIDAHO
7CN6339MEDICARE PIN
88927759OTHERWASHINGTONCRIME VICTIMS COMPENSATION ACT
9805350600MEDICAIDIDAHO
10GAB04255MEDICARE PINWASHINGTON
11BYHB9OTHERIDAHOBLUE CROSS OF IDAHO
127088859MEDICAIDWASHINGTON

What is NPI?

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: 5/5/2024

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