Dione Schubach, PS
Organization Active NPI Optometrist · Winlock, WA
NPI 1003467705 · NPPES record last updated Sep 24, 2019
Key facts
- NPI
- 1003467705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- DIONE SCHUBACH, PS
- Practice address
- 118 SE 1St St
Winlock, WA 98596 - Phone
- (360) 785-3861
- NPI assigned
- Sep 24, 2019
- Organization subpart
- No
Authorized official
- Name
- Dione Schubach, OD
- Title
- President
- Phone
- (503) 473-4025
Practitioners 2
-
Dione Maia Schubach, O.D.
-
Paul J. Olsovsky, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191106003182 | WA | Part B Supplier - Clinic/Group Practice | 3870925175 |
Receives reassigned benefits from 1 practitioner Practice locations: Winlock, WA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
118 SE 1St St
Winlock, WA 98596
Mailing address
3613 SE 181St Ave
Vancouver, WA 98683-8265
Other providers in Winlock, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.