Active NPI
Spokane Eye Clinic PS
- Ophthalmology Physician
- Spokane, WA
National Provider Identifier
1003667809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- SPOKANE EYE CLINIC PS
- Practice address
- 427 S Bernard St
Spokane, WA 99204-2509 - Phone
- (509) 456-0107
- Fax
- (509) 747-2635
- NPI assigned
- Mar 29, 2024
- Organization subpart
- Yes
- Parent organization
- SPOKANE EYE CLINIC PS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven A Madreperla, MD
- Title
- Owner
- Phone
- (908) 458-8333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240718003502 | WA | DME Supplier - Physician - Optometrist | 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 Clinic
- Part of
- Spokane Eye Clinic
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Spokane, WA
- NPI 1508617317
-
- Multi-Specialty Clinic/Center
- Spokane, WA
- NPI 1730187899
-
- Ophthalmology Physician
- Spokane Valley, WA
- NPI 1790536597
-
- Ambulatory Surgical Clinic/Center
- Spokane, WA
- NPI 1831165331
Locations
427 S Bernard St
Spokane, WA 99204
Phone (509) 456-0107
31 E Central Ave
Spokane, WA 99208
Phone (509) 456-0107
16201 E Indiana Ave
Ste 5000
Spokane Valley, WA 99216
Phone (509) 456-0107
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
- Spokane Emergency Care Physicians PLLC
- Spokane Emergency Group, a Professional LLC
- Spokane Emergency Medicine Associates, PS
- Spokane Emergency Physicians, PS
- Spokane ENT Clinic Mayfair
- Spokane Eye Clinic PS
- Spokane Eye Clinic PS
- Spokane Eye Clinic PS
- Spokane Falls Care LLC
- Spokane Falls Recovery Center
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.