EYE CARE SPECIALISTS PS


Address: 500 Port Dr, Clarkston, WA 99403-1835
Phone: 5097588811

EYE CARE SPECIALISTS PS (NPI# 1972514917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972514917
Entity Type Organization
Organization Name EYE CARE SPECIALISTS PS
Other Organization Name EYE CARE OPTICAL
Practice Address 500 Port Dr
Clarkston
WA 99403-1835
Practice Telephone 5097588811
Practice Fax Number 5097511188
Mailing Telephone 5097588811
Mailing Fax Number 5097511188
Enumeration Date 2006-08-11
Last Update Date 2011-09-20
Authorized Official Name DR. MARK T EGGLESTON (PRESIDENT)
Authorized Official Telephone 5097588811
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name EYE CARE SPECIALISTS PS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist OD00003976 WA Eye and Vision Services Providers
N 152W00000X Optometrist OPD-100067 ID Eye and Vision Services Providers
N 156FC0801X Technician/Technologist
Specialization: Contact Lens Fitter
601269693 WA Eye and Vision Services Providers
Y 207W00000X Ophthalmology MD00014109 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
REGENCE BLUE SHIELD 000010006387 01
ID BLUE CROSS 85977 01
ID 805350600 05
WA 7088859 05
RAILROAD MEDICARE CN6339 01
WA LABOR & IND 0123143 01
GROUP HEALTH 24509 01
WA CRIME VICTIMS 8927759 01

Other Provider/Organization Names

Other Name Type Code
Eye Care Optical Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1639160450 Eye Care Specialists Ps Optometrist 500 Port Dr, Clarkston, WA 99403-1835 2005-11-01

Office Location

Street Address 500 PORT DR
City CLARKSTON
State WA
Zip Code 99403-1835

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821088147 Richard J Eggleston Ophthalmology 500 Port Dr, Clarkston, WA 99403-1835 2005-10-27
1043623309 Julia Lienesch Nurse Anesthetist, Certified Registered 500 Port Dr, Clarkston, WA 99403-1835 2014-06-04
1245496744 Dorian Max Rammell Optometrist 500 Port Dr, Clarkston, WA 99403-1835 2008-08-04
1699896167 Chad Ryan Bouterse Ophthalmology 500 Port Dr, Clarkston, WA 99403-1835 2007-04-03
1649361007 Mary L Muench Registered Nurse 500 Port Dr, Clarkston, WA 99403-1835 2006-09-28
1376556514 Eye Care Specialists Ps Ophthalmology 500 Port Dr, Clarkston, WA 99403-1835 2006-08-15
1639160450 Eye Care Specialists Ps Optometrist 500 Port Dr, Clarkston, WA 99403-1835 2005-11-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306409669 Jessica Elaine Krull Specialist/Technologist 807 3rd Street, Clarkston, WA 99403 2019-04-22
1477006526 Idaho County Rideshare Non-emergency Medical Transport (VAN) 1470 Elm Street, Clarkston, WA 99403 2016-07-25
1679921340 Jonathan Preszler Counselor 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 2016-06-02
1104204957 Optimal Health and Wellness Clinic/Center 1267 Belmont Way, Clarkston, WA 99403 2015-05-13
1326456351 David Nygren Pharmacist 506 5th St, Clarkston, WA 99403 2014-07-22
1255672895 Alpowa Healthcare, Inc. Hospice Care, Community Based 1370 Bridge Street, Clarkston, WA 99403 2013-03-06
1265799407 Elizabeth Bagnulo Dacey Pathology 1225 Highland Avenue, Clarkston, WA 99403 2012-04-12
1649586256 Zeeshan Afzal Internal Medicine 1119 Highland Ave Ste 3, Clarkston, WA 99403 2010-08-20
1154657955 Twin River Vision, Inc. Optometrist 306 5th Street, Clarkston, WA 99403 2009-10-29
1649429317 Elizabeth Marie Allen-racicot Specialist 1013 Bridge Street, Clarkston, WA 99403 2008-09-17
Find all providers in zip 99403

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912385154 Stefanie Denise Sherman Ophthalmology 5825 S Main St Ste 100, Clarkston, MI 48346-2983 2015-05-07
1154358190 Saul M Rubenstein Ophthalmology 6875 Dixie Hwy, Clarkston, MI 48346-2008 2006-06-26
1821088147 Richard J Eggleston Ophthalmology 500 Port Dr, Clarkston, WA 99403-1835 2005-10-27
1306836705 Mark T Eggleston Ophthalmology 500 Port Drive, Clarkston, WA 99403-1835 2005-10-26
1538154125 Arlin H French Ophthalmology 5825 S Main St, Suite 100, Clarkston, MI 48346-2983 2005-09-20
1134460272 Wilkinson Eye Center Ophthalmology 6875 Dixie Hwy, Clarkston, MI 48346-5106 2013-03-14
1922249937 Oakland Eye Care, P.C. Ophthalmology 5701 Bow Pointe Dr, Suite 135, Clarkston, MI 48346-3198 2009-03-20
1760632004 W Richard Herbert Md Ps Ophthalmology 617 Diagonal St, Clarkston, WA 99403-2041 2008-09-23
1699896167 Chad Ryan Bouterse Ophthalmology 500 Port Dr, Clarkston, WA 99403-1835 2007-04-03
1245332980 Oakland Eye Care, P.C. Ophthalmology 5825 S Main St, Suite 100, Clarkston, MI 48346-2983 2006-09-02
Find all providers in CLARKSTON

Competitor

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City CLARKSTON
Zip Code 99403

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Dataset Information

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.

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