EYE CARE SPECIALISTS PS (NPI# 1710048772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710048772 |
| Entity Type | Organization |
| Organization Name | EYE CARE SPECIALISTS PS |
| Other Organization Name | EYE CARE OPTICAL |
| Practice Address |
825 Se Bishop Blvd Ste 110 Pullman WA 99163-5517 |
| Mailing Address |
500 Port Dr Clarkston WA 99403-1835 |
| Practice Telephone | 5093341661 |
| Practice Fax Number | 5093341788 |
| Mailing Telephone | 5097588811 |
| Mailing Fax Number | 5097511188 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2011-09-20 |
| Authorized Official Name | MR. MARK T EGGLESTON (PRESIDENT) |
| Authorized Official Telephone | 5097588811 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | EYE CARE SPECIALISTS PS DBA THE LASER & SURGERY CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OD00003976 | WA | Eye and Vision Services Providers |
| N | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
601269693 | WA | Eye and Vision Services Providers |
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
601269693 | WA | Eye and Vision Services Providers |
| Y | 207W00000X | Ophthalmology | MD00014109 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & IND | 0123143 | 01 |
| REGENCE BLUE SHIELD | 000010006387 | 01 | |
| ID | 805350600 | 05 | |
| WA | CRIME VICTIMS | 8927759 | 01 |
| GROUP HEALTH | 24509 | 01 | |
| ID | BLUE CROSS | 85977 | 01 |
| WA | 7088859 | 05 |
| Other Name | Type Code |
|---|---|
| Eye Care Optical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780708552 | Eye Care Specialists Ps | Optometrist | 825 Se Bishop Blvd, Ste 110, Pullman, WA 99163-5517 | 2007-03-19 |
| 1760594709 | Eye Care Specialists Ps | Ophthalmology | 825 Se Bishop Blvd, Suite 110, Pullman, WA 99163-5517 | 2006-08-31 |
| 1376556514 | Eye Care Specialists Ps | Ophthalmology | 500 Port Dr, Clarkston, WA 99403-1835 | 2006-08-15 |
| 1972514917 | Eye Care Specialists Ps | Optometrist | 500 Port Dr, Clarkston, WA 99403-1835 | 2006-08-11 |
| 1639160450 | Eye Care Specialists Ps | Optometrist | 500 Port Dr, Clarkston, WA 99403-1835 | 2005-11-01 |
| Street Address |
825 SE BISHOP BLVD STE 110 |
| City | PULLMAN |
| State | WA |
| Zip Code | 99163-5517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
| 1245715788 | Chirs Sader | Specialist/Technologist | Cougar Way, Bohler Addition, Pullman, WA 99163 | 2018-10-01 |
| 1588158307 | Stefanie Clark | Massage Therapist | 1205 Se Bishop Blvd, Suite #109, Pullman, WA 99163 | 2018-06-15 |
| 1023523859 | Madeleine Degrasse | Specialist/Technologist | 1580 Ne Cougar Way, 265, Coleman, WA 99163 | 2017-12-01 |
| 1720517188 | Chelsea Michelle Luna | Specialist/Technologist | 705 Nw State St, Pullman, WA 99163 | 2017-06-08 |
| 1649706185 | Travis Reid Edwards | Specialist/Technologist | 1455 Ne Colorado St, Pullman, WA 99163 | 2017-05-03 |
| 1053775403 | Anna Grindeland | Dietitian, Registered | 555 Se Water St, Pullman, WA 99163 | 2016-04-12 |
| 1487991741 | Yoko Jingi | Specialist/Technologist | 1225 S Grand Ave., Pullman, WA 99163 | 2013-01-07 |
| 1003151572 | Jessie M Armstrong | Speech-Language Pathologist | 1805 Nw Canyonview Drive, Pullman, WA 99163 | 2012-12-10 |
| 1679827877 | Schweitzer Engineering Laboratories | Clinic/Center | 2440 Ne Hopkins Ct., Pullman, WA 99163 | 2012-11-09 |
| Find all providers in zip 99163 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760594709 | Eye Care Specialists Ps | Ophthalmology | 825 Se Bishop Blvd, Suite 110, Pullman, WA 99163-5517 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991208 | N W Eye Surgeons P C | Ophthalmology | 1221 Madison St Ste 1415, Seattle, WA 98104-1360 | 2020-01-22 |
| 1235628579 | Eyecare Partners, Pllc | Ophthalmology | 22620 Se 4th St Ste 110, Sammamish, WA 98074-7375 | 2018-05-02 |
| 1104325794 | North Cascade Eye Associates Ps | Ophthalmology | 3115 Old Fairhaven Pkwy, Bellingham, WA 98225-8266 | 2018-02-08 |
| 1104355155 | Richard Lee Harman | Ophthalmology | 10101 270th St. Nw, #195, Stanwood, WA 98292 | 2017-06-05 |
| 1427583335 | Burien Medical Eye Care, LLC | Ophthalmology | 13512 Ambaum Blvd Sw Fl 3, Burien, WA 98146-3244 | 2017-04-28 |
| 1013304328 | Parker Faith | Ophthalmology | 3999 Englewood Ave Ste 101, Yakima, WA 98902-6341 | 2015-04-24 |
| 1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
| 1740689728 | Don Pearson | Ophthalmology | 6708 Bridgeport Way W, Lakewood, WA 98499-8115 | 2014-08-15 |
| 1548600372 | Dong-wouk Park | Ophthalmology | 600 Triangle Shopping Ctr Ste 400, Longview, WA 98632-4677 | 2013-06-25 |
| 1073951240 | Maxine Amy Harvey | Ophthalmology | 9040 Jackson Ave Madigan Army Medical Ctr, Tacoma, WA 98431-4504 | 2013-06-11 |
| 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.