MEDNIC PC NPI 1831308790

NPI Information

  • NPI: 1831308790
  • Provider Name: MEDNIC PC
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Doing Business As: DOWNTOWN VISION CENTRE
  • CLIA Number: 50D2316206
  • Address: 912 MAIN ST
    VANCOUVER, WA
    ZIP 98660
  • Phone: (360) 694-6541

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NPI Details

MEDNIC PC is an optometrist in Vancouver, 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 1831308790. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Downtown Vision Centre.

The provider's business location address is:

912 MAIN ST
VANCOUVER, WA
ZIP 98660-136
Phone: (360) 694-6541
Fax: (360) 696-2578

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 CLIA number assigned to this NPI record is 50D2316206 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 6/24/2013.

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
1152W00000XOptometristOD00001808WASHINGTONNo
2152W00000XOptometristOD00001999WASHINGTONYes

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
1U44972MEDICARE UPINWASHINGTON
2U29339MEDICARE UPINWASHINGTON
3GAB13044MEDICARE PINWASHINGTON
42023141MEDICAIDWASHINGTON
52023133MEDICAIDWASHINGTON
64148630001MEDICARE NSCWASHINGTON
74148630002MEDICARE 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: 11/21/2025

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