NPIMap

Organization Active NPI

Spokane Eye Clinic PS

Doing business as Spokane Optical Company

  • Ophthalmology Physician
  • Spokane, WA
National Provider Identifier
1003667809
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SPOKANE EYE CLINIC PS
Doing business as
Spokane Optical Company
Practice address
427 S Bernard St
Spokane, WA 99204-2509
Phone
(509) 456-0107
Fax
(509) 747-2635
NPI assigned
Mar 29, 2024
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SPOKANE EYE CLINIC PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Steven A Madreperla, MDNPI 1013925254
Title
Owner
Phone
(908) 458-8333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

427 S Bernard St
Spokane, WA 99204-2509

Mailing address

427 S Bernard St
Spokane, WA 99204-2509
Phone (509) 623-9782

Other practice location 1

9651 N Nevada St
Spokane, WA 99218-1132
Phone (509) 456-0107

Other practice location 2

31 E Central Ave
Spokane, WA 99208-1161
Phone (509) 456-0107

Other practice location 3

16201 E Indiana Ave Ste 5000
Spokane Valley, WA 99216-1883
Phone (509) 456-0107

Other names 1

  • Spokane Optical Company Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240718003502 WA DME Supplier - Physician - OptometristDME Supplier - Medical Supply CompanyDME Supplier - Optician 1759278393 Practice locations: Spokane, WA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Spokane Eye CLN5 organizations share this tax ID, including this one
Part of
Spokane Eye CLN

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1003667809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042509",
            "telephone_number": "509-623-9782",
            "fax_number": "509-747-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042509",
            "telephone_number": "509-456-0107",
            "fax_number": "509-747-2635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9651 N Nevada St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992181132",
            "country_code": "US",
            "telephone_number": "509-456-0107",
            "fax_number": "509-747-2635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 E Central Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992081161",
            "country_code": "US",
            "telephone_number": "509-456-0107",
            "fax_number": "509-747-2635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16201 E Indiana Ave Ste 5000",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161883",
            "country_code": "US",
            "telephone_number": "509-456-0107",
            "fax_number": "509-747-2635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPOKANE EYE CLINIC PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPOKANE EYE CLINIC PS",
        "enumeration_date": "2024-03-29",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "MADREPERLA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-458-8333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spokane Optical Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.