Eyes for Life PS

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00003911 Issued in WA

Legal business name

EYES FOR LIFE PS

Practice address

3022 E 57TH Ave Ste 11
Spokane, WA 99223-7033

Phone

(509) 448-7300

Fax

(509) 448-7382

NPI assigned

Nov 20, 2007

Last updated

Sep 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Heavin Maier, O.D.NPI 1861478869

Title

Owner

Phone

(509) 448-7300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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.

• Heavin Bortz Maier, OD

  • Optometrist
  • Spokane, WA
  • NPI 1861478869
  Medicare reassignment Care Compare group NPD Authorized official
• Kellen Robertson, O.D.

  • Optometrist
  • Spokane, WA
  • NPI 1285099093
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1023299856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 E 57TH AVE STE 11",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237033",
            "telephone_number": "509-448-7300",
            "fax_number": "509-448-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 E 57TH AVE STE 11",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237033",
            "telephone_number": "509-448-7300",
            "fax_number": "509-448-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES FOR LIFE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "MAIER",
        "authorized_official_first_name": "HEAVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-448-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029569",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eye Care Team Inc
• Eye Consultants PS
• Eye Consultants, P.S.
• Eyemart Express LLC
• Eyes N Glass Optiks Inc
• Taylor Marie Eymann
• Mary C Ezenwa, BS, MA
• Christi Faagau, LMT
• Nikolas Faagau

• Optometrist in Spokane, WA
• Providers in Spokane, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.