Provider Type Icon

MEDNIC PC NPI 1588822548


NPI Profile

NPI: 1588822548
Provider Name: MEDNIC, PC

Doing Business As: CAMAS VISION CENTRE

Classification:Optometrist - 152W00000X
Entity Type: Organization
Address:
225 NE 4TH AVE
CAMAS, WA
ZIP 98607
Get Directions

Phone: (360) 834-2063

MEDNIC, PC is an optometrist in Camas, 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. MEDNIC, PC NPI is 1588822548. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Camas Vision Centre.

The provider's business location address is:

225 NE 4TH AVE
CAMAS, WA
ZIP 98607-125
Phone: (360) 834-2063
Fax: (360) 834-5375

The provider's authorized official is Linda R. Medeski-nicacio .
The authorized official title is President and has the following contact phone number (360) 694-6541.

The enumeration date for this NPI number is 5/27/2008 and was last updated on 11/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist1999WASHINGTONNo
2152W00000XOptometrist1808TXWASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U29339MEDICARE UPINWASHINGTON
22023141MEDICAIDWASHINGTON
3GAB13045MEDICARE PINWASHINGTON
4U44972MEDICARE UPINWASHINGTON
54148630001MEDICARE NSCWASHINGTON

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: 11/7/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.