EYE CARE SPECIALISTS PS (NPI# 1760594709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760594709 |
| Entity Type | Organization |
| Organization Name | EYE CARE SPECIALISTS PS |
| Other Organization Name | THE LASER AND SURGERY CENTER |
| Practice Address |
825 Se Bishop Blvd Suite 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 | 2006-08-31 |
| Last Update Date | 2011-09-20 |
| Authorized Official Name | MARK T EGGLESTON (PRESIDENT) |
| Authorized Official Telephone | 5097588811 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | MEDICAID | 805350600 | 01 |
| ID | BLUE CROSS OF IDAHO | 8I045 | 01 |
| WA | BLUE CROSS OF IDAHO | BYHB9 | 01 |
| REGENCE BLUE SHIELD | 000010006385 | 01 | |
| WA | 7088859 | 05 | |
| ID | BLUE CROSS OF IDAHO | 85977 | 01 |
| FEDERAL BLUE CROSS | 000010006387 | 01 | |
| ID | BLUE CROSS OF IDAHO | 8I052 | 01 |
| WA | LABOR AND IND | 0123143 | 01 |
| ID | MEDICAID OPTICAL | 002639500 | 01 |
| ID | MEDICARE | 1375873 | 01 |
| REGENCE BLUE SHIELD OPTIC | 000010006387 | 01 | |
| WA | DMERC | 0265530002 | 01 |
| WA | DMERC | 0265530003 | 01 |
| WA | CRIME VICTIMS COMPENSATIO | 8927759 | 01 |
| Other Name | Type Code |
|---|---|
| The Laser and Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710048772 | Eye Care Specialists Ps | Optometrist | 825 Se Bishop Blvd Ste 110, Pullman, WA 99163-5517 | 2006-12-13 |
| 1780708552 | Eye Care Specialists Ps | Optometrist | 825 Se Bishop Blvd, Ste 110, Pullman, WA 99163-5517 | 2007-03-19 |
| 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 SUITE 110 |
| City | PULLMAN |
| State | WA |
| Zip Code | 99163-5517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427040823 | Derrick A Walker | Surgery | 825 Se Bishop Blvd, Suite 130, Pullman, WA 99163-5517 | 2005-08-22 |
| 1942757190 | Rutendo Chikuku | Audiologist | 825 Se Bishop Blvd, 601, Pullman, WA 99163-5517 | 2016-09-06 |
| 1851764500 | Barbara Bennett-wolcott | Advanced Practice Midwife | 825 Se Bishop Blvd, Suite 200, Pullman, WA 99163-5517 | 2015-11-03 |
| 1073989489 | Nicole Clements | Specialist/Technologist | 825 Se Bishop Blvd, Suite 120, Pullman, WA 99163-5517 | 2015-08-19 |
| 1760889265 | Palouse Specialty Physicians, P.s. | Psychiatry & Neurology | 825 Se Bishop Blvd, Suite 601, Pullman, WA 99163-5517 | 2014-11-26 |
| 1548667421 | Palouse Specialty Physicians, P.s. | Otolaryngology | 825 Se Bishop Blvd, Suite 501, Pullman, WA 99163-5517 | 2014-11-20 |
| 1750704896 | Northwest Pharmacy Services Inc | Pharmacy | 825 Se Bishop Blvd, Ste 301, Pullman, WA 99163-5517 | 2014-01-24 |
| 1518395763 | Heather N Davis-remacle | Physician Assistant | 825 Se Bishop Blvd, Ste 200, Pullman, WA 99163-5517 | 2013-10-25 |
| 1285076737 | Nancy Bishop Panko | Surgery | 825 Se Bishop Blvd, Pullman, WA 99163-5517 | 2013-07-25 |
| 1447690672 | Corinne Elizabeth Gaddis | Specialist/Technologist | 825 Se Bishop Blvd, Suite 120, Pullman, WA 99163-5517 | 2013-07-02 |
| Find all providers in the same location | ||||
| 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 | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295890911 | Rachna Narula | Optometrist | 1125 Se Washington St, Pullman, WA 99164-0001 | 2006-12-22 |
| 1710048772 | Eye Care Specialists Ps | Optometrist | 825 Se Bishop Blvd Ste 110, Pullman, WA 99163-5517 | 2006-12-13 |
| 1861568644 | Robert Pierce Wayne Jr. | Optometrist | 1250 Se Bishop Blvd, Suite F, Pullman, WA 99163-5449 | 2006-11-25 |
| 1740275569 | Daniel D David | Optometrist | 560 Se Bishop Blvd, Pullman, WA 99163-5505 | 2005-09-19 |
| 1770065377 | Pullman Vision Source | Optometrist | 238 E Main St, Pullman, WA 99163-2619 | 2018-08-30 |
| 1598286635 | Matthew Walker | Optometrist | 1450 S Grand Ave, Pullman, WA 99163-4900 | 2017-06-28 |
| 1174065783 | Eye and Wellness, LLC | Optometrist | 1690 Se Harvest Dr, Pullman, WA 99163-6000 | 2016-11-14 |
| 1972856888 | Aero Eye Care, Pllc | Optometrist | 1690 Se Harvest Dr, Pullman, WA 99163-6000 | 2012-10-17 |
| 1174826002 | Daniel D David | Optometrist | 560 Se Bishop Blvd, Pullman, WA 99163-5505 | 2010-12-15 |
| 1780708552 | Eye Care Specialists Ps | Optometrist | 825 Se Bishop Blvd, Ste 110, Pullman, WA 99163-5517 | 2007-03-19 |
| Find all providers in PULLMAN | ||||
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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.