Individual provider Active NPI

Jessica N Couch

  • Optometrist
  • Spokane Valley, WA
National Provider Identifier
1043926124
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61566640 Issued in WA
Practice address
16010 E Indiana Ave
Spokane Valley, WA 99216-1813
Phone
(509) 928-8040
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-100663 ID
Optometrist 152W00000X OD61566640 WA Primary

Addresses

Primary practice location

16010 E Indiana Ave
Spokane Valley, WA 99216-1813

Mailing address

16010 E Indiana Ave
Spokane Valley, WA 99216-1813
Phone (509) 928-8040

Other names 1

  • Jessica N Munoz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240805001617 WA Practitioner - Optometry 9335686625 Reassigns benefits to 1 organization
I20241003002029 ID Practitioner - Optometry 9335686625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Partners Physicians PCGroup PAC ID 6002728532, shared by 5 NPIs, 59 clinicians

Practice addresses (Care Compare)

16010 E Indiana Ave
Spokane Valley, WA 99216-1813
Phone (509) 928-8040

2175 N Main St
Coeur D Alene, ID 83814-5768
Phone (208) 664-9888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-100663IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Partners Physicians, P.C. Optometrist Current Accepting new patients
Sight Partners Physicians PC CurrentSince Jun 24, 2024 Accepting new patients
Sight Partners Physicians, P.C. Optometrist CurrentSince Jun 24, 2024 Accepting new patients
Sight Partners Physicians, P.C. Optometrist CurrentSince Jul 21, 2024 Accepting new patients
Sight Partners Physicians, P.C. Optometrist Current Accepting new patients
Sight Partners Physicians, P.C. Optometrist Past Accepting new patients
Inland Pediatric Ophthalmology and Strabismus P.L.L.C. PastSince Jul 18, 2020 Accepting new patients
Sight Partners Physicians, P.C. Optometrist Past Accepting new patients
Sight Partners Physicians, P.C. Optometrist Past Accepting new patients
Sight Partners Physicians, P.C. Optometrist Past Accepting new patients
Empire Eye Physicians PS Optometrist PastSince Apr 1, 1995 Accepting new patients
Sight Partners Physicians, P.C. Optometrist Past Accepting new patients
Sight Partners Physicians, P.C. Optometrist Past Accepting new patients

Locations

2175 N Main St
Coeur D Alene, ID 83814
Phone (208) 664-9888

2175 N Main St
Ste A
Coeur D Alene, ID 83814
Phone (208) 664-9888

16404 Smokey Point Blvd
Ste 303
Arlington, WA 98223
Phone (360) 658-6224

903 Medical Center Dr
Ste 100
Arlington, WA 98223
Phone (360) 435-8595

2075 Barkley Blvd
Ste 205
Bellingham, WA 98226
Phone (360) 676-6233

21906 76th Ave W
Edmonds, WA 98026
Phone (425) 577-4262

1306 Roosevelt Ave
Mount Vernon, WA 98273
Phone (360) 428-2020

1412 SW 43rd St
Ste 310
Renton, WA 98057
Phone (425) 235-1200

332 NE Northgate Way
Seattle, WA 98125

795 N 5th Ave
Sequim, WA 98382
Phone (360) 658-6224

9671 N Nevada St
Ste 210
Spokane, WA 99218
Phone (509) 468-2020

16010 E Indiana Ave
Spokane Valley, WA 99216
Phone (509) 928-8040

Interoperability endpoints

  • Direct secure messaging: jcouch@nwes.intellechartdirect.net
  • Direct secure messaging: jessica.couch.p2@direct.spokaneeye.nextgenshare.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1043926124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16010 E INDIANA AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161813",
            "telephone_number": "509-928-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16010 E INDIANA AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161813",
            "telephone_number": "509-928-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "JESSICA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100663",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61566640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MUNOZ",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.