Vancouver Eye Care, P.S.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

VANCOUVER EYE CARE, P.S.

Practice address

17720 SE Mill Plain Blvd
Suite 100
Vancouver, WA 98683-7583

Phone

(360) 823-2020

Fax

(360) 823-1036

NPI assigned

Mar 30, 2008

Organization subpart

No

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

Authorized official

Name

Pamela Joy Huffman

Title

Administrator

Phone

(360) 823-2012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

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

• Vancouver Eye Care PS

  • Ophthalmology Physician
  • Vancouver, WA
  • NPI 1356375042

  5799673364

  Same PAC ID
• Vancouver Eye Care PS

  • Ambulatory Surgical Clinic/Center
  • Vancouver, WA
  • NPI 1669427043

  5799673364

  Same PAC ID
• Vancouver Eye Care, P.S.

  • Eyewear Supplier
  • Vancouver, WA
  • NPI 1770755746

  5799673364

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Vancouver Eye Care PS

  • Ophthalmology Physician
  • Vancouver, WA
  • NPI 1356375042

  O20100930049816

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Vancouver Eye Care PS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Vancouver Eye Care, P.S.

  • Eyewear Supplier
  • Vancouver, WA
  • NPI 1770755746
  NPD tax ID

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

{
    "created_epoch": "1206835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1043482011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61896",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986661896",
            "telephone_number": "360-823-2012",
            "fax_number": "360-823-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17720 SE MILL PLAIN BLVD",
            "address_2": "SUITE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986837583",
            "telephone_number": "360-823-2020",
            "fax_number": "360-823-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER EYE CARE, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-30",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-823-2012"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vancouver ENT and ENT of the Northwest PLLC
• Vancouver ENT and ENT of the Northwest PLLC
• Vancouver ENT and ENT of the Northwest PLLC
• Vancouver Eye Care PS
• Vancouver Eye Care PS
• Vancouver Eye Care, P.S.
• Vancouver Eye Care, P.S.
• Vancouver Foot and Ankle, PLLC
• Vancouver Guidance Clinic
• Vancouver Health and Rehabilitation

• Eyewear Supplier in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Eyewear Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.