Organization Active NPI

Dione Schubach, PS

  • Optometrist
  • Winlock, WA
National Provider Identifier
1003467705
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 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
Last updated
Sep 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dione Schubach, ODNPI 1417101635
Title
President
Phone
(503) 473-4025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

118 SE 1St St
Winlock, WA 98596

Mailing address

3613 SE 181St Ave
Vancouver, WA 98683-8265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191106003182 WA Part B Supplier - Clinic/Group Practice 3870925175 Receives reassigned benefits from 1 practitioner
Practice locations: Winlock, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1003467705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 SE 181ST AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SE 1ST ST",
            "city": "WINLOCK",
            "state": "WA",
            "postal_code": "98596",
            "telephone_number": "360-785-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIONE SCHUBACH, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "SCHUBACH",
        "authorized_official_first_name": "DIONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-473-4025",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winlock, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.