NPIMap

Organization Active NPI

West Pasco Eye Care P.S.

Doing business as Bullock Eye Care

  • Optometrist
  • Pasco, WA
National Provider Identifier
1053408468
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WEST PASCO EYE CARE P.S.
Doing business as
Bullock Eye Care
Practice address
7001 Burden Blvd
Pasco, WA 99301
Phone
(509) 543-9898
Fax
(509) 380-5747
NPI assigned
Oct 6, 2006
Last updated
May 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Brandon Call, ODNPI 1497319008
Title
Shareholder/Vice President
Phone
(509) 551-7441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD 00003641 WA
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

7001 Burden Blvd
Pasco, WA 99301

Mailing address

7001 Burden Blvd
Pasco, WA 99301
Phone (509) 543-9898

Other names 2

  • Bullock Eye Care Doing business as
  • Geoffrey Bullock OD PS Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070117000410 WA Part B Supplier - Clinic/Group Practice 7113928102 Receives reassigned benefits from 3 practitioners
Practice locations: Pasco, WA

National Provider Directory

National Provider Directory

Locations

7001 Burden Blvd
Pasco, WA 99301
Phone (509) 543-9898

Practitioners & affiliated clinicians

Practitioners 3

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1053408468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 BURDEN BLVD",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301",
            "telephone_number": "509-543-9898",
            "fax_number": "509-380-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 BURDEN BLVD",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301",
            "telephone_number": "509-543-9898",
            "fax_number": "509-380-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PASCO EYE CARE P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "CALL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "SHAREHOLDER/VICE PRESIDENT",
        "authorized_official_telephone_number": "509-551-7441",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD 00003641",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bullock Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Geoffrey Bullock OD PS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.