NPIMap

Organization Active NPI

Eyeco Optometry PS

Doing business as Vision Plus

  • Optometrist
  • Bellingham, WA
National Provider Identifier
1083827372
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3639 Issued in WA
Legal business name
EYECO OPTOMETRY PS
Doing business as
Vision Plus
Practice address
2520 James St
Bellingham, WA 98225-3830
Phone
(360) 733-7393
Fax
(360) 722-7785
NPI assigned
May 7, 2007
Last updated
Jan 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Dr. Mark D Aginsky, O.D.NPI 1730169285
Title
President
Phone
(360) 733-7393

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3639 WA Primary

Addresses

Primary practice location

2520 James St
Bellingham, WA 98225-3830

Mailing address

1225 E Sunset Dr
Suite 125
Bellingham, WA 98226-3597
Phone (360) 733-7393

Other identifiers 1

IdentifierTypeStateIssuer
2026342MedicaidWA

Other names 1

  • Vision Plus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060206000858 WA Part B Supplier - Clinic/Group Practice 0143286716 Receives reassigned benefits from 12 practitioners
Practice locations: Bellingham, WA
O20100930024390 WA DME Supplier - Physician - Optometrist 0143286716 Practice locations: Bellingham, WA

National Provider Directory

National Provider Directory

Locations

315 Cascade Mall Dr
Burlington, WA 98233
Phone (360) 757-6336

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1083827372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E SUNSET DR",
            "address_2": "SUITE 125",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982263597",
            "telephone_number": "360-733-7393",
            "fax_number": "360-722-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 JAMES ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253830",
            "telephone_number": "360-733-7393",
            "fax_number": "360-722-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECO OPTOMETRY PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "AGINSKY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-733-7393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026342",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.