FULL SPECTRUM EYE CARE, P.S. (NPI# 1144317983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144317983 |
| Entity Type | Organization |
| Organization Name | FULL SPECTRUM EYE CARE, P.S. |
| Other Organization Name | THE COLUMBIA RIVER EYE CENTER OPTICAL SHOP |
| Practice Address |
475 Bradley Blvd Richland WA 99352-4419 |
| Practice Telephone | 5099439055 |
| Practice Fax Number | 5099431575 |
| Mailing Telephone | 5099439055 |
| Mailing Fax Number | 5099431575 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-06-01 |
| Authorized Official Name | DR. DEVIN HARRISON (OWNER) |
| Authorized Official Telephone | 5099432240 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STERLING INSURANCE | 4383580001 | 01 |
| Other Name | Type Code |
|---|---|
| The Columbia River Eye Center Optical Shop | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841378056 | Full Spectrum Eye Care, P.s. | Clinic/Center | 475 Bradley Blvd, Richland, WA 99352-4419 | 2006-11-02 |
| Street Address |
475 BRADLEY BLVD |
| City | RICHLAND |
| State | WA |
| Zip Code | 99352-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285610378 | Michael E Deitz | Specialist | 475 Bradley Blvd, Richland, WA 99352-4419 | 2005-12-20 |
| 1053611400 | Cheryl Lee | Ophthalmology | 475 Bradley Blvd, Richland, WA 99352-4419 | 2010-11-01 |
| 1699944181 | Brandon R Walters | Optometrist | 475 Bradley Blvd, Richland, WA 99352-4419 | 2008-02-28 |
| 1841378056 | Full Spectrum Eye Care, P.s. | Clinic/Center | 475 Bradley Blvd, Richland, WA 99352-4419 | 2006-11-02 |
| 1427134543 | Full Spectrum Eye Care, Ps | Ophthalmology | 475 Bradley Blvd, Richland, WA 99352-4419 | 2006-10-31 |
| 1487761888 | Andrew A Chen | Ophthalmology | 475 Bradley Blvd, Richland, WA 99352-4419 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
| 1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
| 1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
| 1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
| 1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
| 1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
| Find all providers in zip 99352 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004477 | The Vancouver Clinic Inc Ps | Eyewear Supplier (Equipment, not the service) | 2 S 56th Pl Ste 205, Ridgefield, WA 98642-3427 | 2020-05-15 |
| 1619514825 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 11111 Ne 8th St Ste 147, Bellevue, WA 98004-4489 | 2019-12-06 |
| 1790341675 | Zachary Robert Cooper | Eyewear Supplier (Equipment, not the service) | 301 Queen Anne Ave N # 506, Seattle, WA 98109-4513 | 2019-05-15 |
| 1235795626 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1052 Springwater Ave, Wenatchee, WA 98801-1546 | 2019-05-12 |
| 1154987535 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9326 N Division St, Spokane, WA 99218-1227 | 2019-05-11 |
| 1699331074 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2529 Main St Ste P6-a, Union Gap, WA 98903-1690 | 2019-05-11 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1437648508 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 4502 S Steele St Ste 700, Tacoma, WA 98409-7224 | 2018-05-04 |
| 1407359151 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9801 204th Ave E, Bonney Lake, WA 98391 | 2018-03-08 |
| 1457860702 | Visionpros Usa Inc | Eyewear Supplier (Equipment, not the service) | 1750 Grant Ave, Blaine, WA 98230-5155 | 2017-09-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.