PACIFIC EYECARE & OPTICAL, PLLC (NPI# 1205168184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205168184 |
| Entity Type | Organization |
| Organization Name | PACIFIC EYECARE & OPTICAL, PLLC |
| Other Organization Name | PACIFIC EYECARE & OPTICAL |
| Practice Address |
5011 W Lowell Ave Suite 120 Spokane WA 99208-8587 |
| Mailing Address |
5208 E Whitehall Ln Colbert WA 99005-9165 |
| Practice Telephone | 5098680215 |
| Mailing Telephone | 5098448184 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2019-08-02 |
| Authorized Official Name | DR. THOMAS A MYERS (MANAGING MEMBER) |
| Authorized Official Telephone | 5098448184 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
OD3853 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Pacific EyeCare & Optical | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PACIFIC EYECARE & OPTICAL, PLLC | 5011 W Lowell Ave, Suite 120, Spokane, WA 99208-8587 |
| Street Address |
5011 W LOWELL AVE SUITE 120 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-8587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922066257 | Alan Dale Purdy | Family Medicine | 5011 W Lowell Ave, Suite 100, Spokane, WA 99208-8587 | 2006-05-03 |
| 1710437017 | Integrated Dental Arts, Pllc | Dentist | 5011 W Lowell Ave, Suite 130, Spokane, WA 99208-8587 | 2016-10-11 |
| 1457704546 | Integrated Dental Arts | Dentist | 5011 W Lowell Ave, Suite 130, Spokane, WA 99208-8587 | 2016-07-13 |
| 1720462666 | Jaclyn M Eliassen | Dentist | 5011 W Lowell Ave, Suite 130, Spokane, WA 99208-8587 | 2015-07-09 |
| 1649663063 | Stacy Rush | Nurse Practitioner | 5011 W Lowell Ave, Suite 100, Spokane, WA 99208-8587 | 2015-03-10 |
| 1386925949 | April Ann Estelle | Nurse Practitioner | 5011 W Lowell Ave, Suite 100, Spokane, WA 99208-8587 | 2011-09-08 |
| 1255402715 | Thomas Arthur Myers | Optometrist | 5011 W Lowell Ave, Suite 120, Spokane, WA 99208-8587 | 2006-11-13 |
| 1386602951 | Tammy Jane Maloney | Physical Therapy Assistant | 5011 W Lowell Ave, Ste 120, Spokane, WA 99208-8587 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1821594896 | Healing Therapy Northwest | Clinic/Center | 1727 E Francis Ave Ste 2, Spokane, WA 99208-2749 | 2018-03-30 |
| 1205192671 | Blissful Massage | Clinic/Center | 3325 E. Bridgeport Ave, Spokane, WA 99217 | 2012-04-10 |
| 1508271792 | G.a.lucas Enterprises, Ps | Clinic/Center | 1817 E Springfield Ave, Suite D, Spokane, WA 99202-2913 | 2014-06-25 |
| 1982017463 | Elements Massage | Clinic/Center | 101 E Hastings Rd, Spokane, WA 99218-4901 | 2014-06-03 |
| 1881917524 | Nutritional Wisdom, Inc. | Clinic/Center | 910 W 5th Ave, Suite 660, Spokane, WA 99204-2966 | 2010-03-09 |
| 1588857924 | Spokane Clinic for Rectal and Colon Disease, Ps | Clinic/Center | 5515 S Custer Rd, Spokane, WA 99223-1628 | 2007-08-20 |
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| 1417558784 | Barono Consulting LLC | Clinic/Center | 23449 28th Ave S, Des Moines, WA 98198-8724 | 2020-11-03 |
| 1396381653 | Meghan Devonport, Lmp | Clinic/Center | 1417 Nw 54th St Ste 455, Seattle, WA 98107-3564 | 2019-11-21 |
| 1982255626 | Pnw Acupuncture and Wellness Pllc | Clinic/Center | 9559 Sand Point Way Ne, Seattle, WA 98115-2621 | 2019-09-24 |
| 1144877671 | Manifest Medicine Pllc | Clinic/Center | The Healing Art Center, 453 N Beach Rd, Eastsound, WA 98245-8927 | 2019-08-20 |
| 1952962383 | A Well Kneaded Massage | Clinic/Center | 312 E Pioneer, Puyallup, WA 98372-3264 | 2019-06-26 |
| 1174080881 | P4 Medicine Institute | Clinic/Center | 464 12th Ave Fl 400, Seattle, WA 98122-5567 | 2019-02-28 |
| 1740764109 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 3850 S Meridian Ste 3, Puyallup, WA 98373-3701 | 2018-09-21 |
| 1841774809 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 3811 Broadway Ste 3, Everett, WA 98201-5031 | 2018-09-17 |
| 1750865713 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 2602 S 38th St Ste C, Tacoma, WA 98409-7303 | 2018-09-17 |
| 1053895011 | Occupational Health Centers of Washington, P.s. | Clinic/Center | 200 Andover Park E Ste 1, Tukwila, WA 98188-2938 | 2018-09-17 |
| 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.