PULLMAN VISION SOURCE (NPI# 1770065377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770065377 |
| Entity Type | Organization |
| Organization Name | PULLMAN VISION SOURCE |
| Practice Address |
238 E Main St Pullman WA 99163-2619 |
| Practice Telephone | 5093341131 |
| Practice Fax Number | 5093324062 |
| Mailing Telephone | 5093341131 |
| Mailing Fax Number | 5093324062 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |
| Authorized Official Name | DR. JAMES P DEVLEMING (OWNER/OPTOMETRIST) |
| Authorized Official Telephone | 5093341131 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PULLMAN VISION SOURCE, P.L.L.C. | 238 E Main St, Pullman, WA 99163-2619 |
| Street Address |
238 E MAIN ST |
| City | PULLMAN |
| State | WA |
| Zip Code | 99163-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265511802 | James P Devleming | Optometrist | 238 E Main St, Pullman, WA 99163-2619 | 2006-11-03 |
| 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 |
| 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 |
| 1528102753 | Rolling Hills Eyecare, LLC | Optometrist | 1045 N Grand Ave, Ste E, Pullman, WA 99163-3472 | 2007-02-19 |
| 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.