Vision Source of Wenatchee, PS

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISION SOURCE OF WENATCHEE, PS

Doing business as

Vision Source of Chelan

Practice address

131 S Apple Blossom Dr Unit 114
Chelan, WA 98816-8827

Phone

(509) 661-6188

NPI assigned

May 24, 2024

Organization subpart

No

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

Authorized official

Name

Nicholas Allen DonagheyNPI 1063854479

Title

Vice President

Phone

(509) 662-9671

Specialties & licenses 1

Addresses

Other names 1

• Vision Source of Chelan Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Vision Source of Wenatchee, PS

  • Optometrist
  • Wenatchee, WA
  • NPI 1023175163

  O20060201000033

  Same enrollment
• Vision Source of Wenatchee, PS

  dba Leavenworth Vision Source

  • Optometrist
  • Leavenworth, WA
  • NPI 1538219787

  O20060201000033

  Same enrollment

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

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Nicholas Allen Donaghey, O.D.

  • Optometrist
  • Wenatchee, WA
  • NPI 1063854479
  NPD Authorized official
• Jason D Barnes, O.D.

  • Optometrist
  • Wenatchee, WA
  • NPI 1306151287
  NPD
• Amanda Joy Donabauer, O.D.

  • Optometrist
  • East Wenatchee, WA
  • NPI 1407102452
  NPD
• Sarah Krauss, OD

  • Optometrist
  • Wenatchee, WA
  • NPI 1407543424
  NPD
• Jennifer Larie Renard, OD

  • Optometrist
  • Wenatchee, WA
  • NPI 1699183061
  NPD
• Nikita Katoozi, OD

  • Optometrist
  • Casper, WY
  • NPI 1083106843
  NPD

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1083454334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S APPLE BLOSSOM DR UNIT 114",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988168827",
            "telephone_number": "509-661-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S APPLE BLOSSOM DR UNIT 114",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988168827",
            "telephone_number": "509-661-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SOURCE OF WENATCHEE, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "DONAGHEY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "509-662-9671"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source of Chelan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael D.R. Travers, M.D.
• Trinitas Eldercare Specialty PC
• Valley Health and Wellness
• Valley Spinal Care LLC (Valley Spinal Care)
• Alexander N Vanderholm
• Heather Louise Vogel, RN
• Wal-Mart Stores, Inc. (Wal-Mart Vision Center 30-3754)
• John Thomas Wall, D.C.
• Walmart Inc. (Walmart Pharmacy 10-3754)
• Charles J Waszkewitz, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.