Longview Eye & Vision
A Medicare group practice based in Longview, WA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5395639959), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5395639959
- Also listed as
- Longview Eye and Vision
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- WA
- Enrollments
- 2
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20100930017800 | WA | DME Supplier - Physician - Optometrist | 1861535197 |
| O20040212000863 | WA | Part B Supplier - Clinic/Group Practice | 1861535197 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Longview Eye & Vision
- Optometrist
- Longview, WA
- NPI 1861535197
-
Longview Eye & Vision
- Optometrist
- Cathlamet, WA
- NPI 1811023732
-
Woodland Eye & Vision
- Optometrist
- Woodland, WA
- NPI 1215063516
Practice locations
- Longview, WA2
- Cathlamet, WA1
- Woodland, WA1
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (3).
-
Elijah Allan Jackson Bannister, OD
- Optometrist
- Longview, WA
- NPI 1558093591
-
Crystal Marie Edison, O.D.
- Optometrist
- Brush Prairie, WA
- NPI 1386953461
-
Kristi Kaylynn Poe, O.D.
- Optometrist
- Longview, WA
- NPI 1386878965
-
Irina Rutkowski
- Optometrist
- Longview, WA
- NPI 1568839231
-
Jeffrey S Tack, OD
- Optometrist
- Longview, WA
- NPI 1710046610
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.