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EYE CARE SPECIALISTS PS NPI 1760594709


NPI Information

NPI: 1760594709
Provider Name: EYE CARE SPECIALISTS PS

Doing Business As: THE LASER AND SURGERY CENTER

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 50D2063320

Address:
825 SE BISHOP BLVD
SUITE 110
PULLMAN, WA
ZIP 99163
Phone: (509) 334-1661
Get Directions

EYE CARE SPECIALISTS PS is an optometrist in Pullman, WA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. EYE CARE SPECIALISTS PS NPI is 1760594709. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Laser And Surgery Center.

The provider's business location address is:

825 SE BISHOP BLVD
SUITE 110
PULLMAN, WA
ZIP 99163-517
Phone: (509) 334-1661
Fax: (509) 334-1788

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 CLIA number assigned to this NPI record is 50D2063320 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/20/2011.


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
1207W00000XOphthalmologyNo
2152W00000XOptometristYes

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
2000010006385OTHERREGENCE BLUE SHIELD
30265530002OTHERWASHINGTONDMERC
48I045OTHERIDAHOBLUE CROSS OF IDAHO
5000010006387OTHERREGENCE BLUE SHIELD OPTIC
6805350600OTHERIDAHOMEDICAID
785977OTHERIDAHOBLUE CROSS OF IDAHO
88927759OTHERWASHINGTONCRIME VICTIMS COMPENSATIO
9BYHB9OTHERWASHINGTONBLUE CROSS OF IDAHO
100123143OTHERWASHINGTONLABOR AND IND
117088859MEDICAIDWASHINGTON
121375873OTHERIDAHOMEDICARE
138I052OTHERIDAHOBLUE CROSS OF IDAHO
14GAB04255MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
15002639500OTHERIDAHOMEDICAID OPTICAL
160265530003OTHERWASHINGTONDMERC

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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