Individual provider Active NPI

Casey Oltman

  • Optometrist
  • Ellensburg, WA
National Provider Identifier
1093382301
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61182965 Issued in WA
Practice address
2201 W Dolarway Rd
Ellensburg, WA 98926-8228
Phone
(509) 925-1000
NPI assigned
Jun 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD61182965 WA Primary

Addresses

Primary practice location

2201 W Dolarway Rd
Ellensburg, WA 98926-8228

Mailing address

2201 W Dolarway Rd
Ste 2
Ellensburg, WA 98926-8228
Phone (509) 982-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crystal@valleyvisionassociates.com Direct Valley Vision Associates, LLP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210804002854 WA Practitioner - Optometry 3173927712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Vision Associates LLPGroup PAC ID 8729187893, 6 clinicians

Practice addresses (Care Compare)

2201 W Dolarway Rd
Suite 2
Ellensburg, WA 98926-8228
Phone (509) 925-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
49.37 of 100Reported as individual
Quality
62.48
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD61182965WAMDOptometrist

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1622937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1093382301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W DOLARWAY RD",
            "address_2": "STE 2",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989268228",
            "telephone_number": "509-982-1000",
            "fax_number": "509-293-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W DOLARWAY RD",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989268228",
            "telephone_number": "509-925-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLTMAN",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-06",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61182965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystal@valleyvisionassociates.com",
            "affiliation": "Y",
            "endpointDescription": "clinic manager",
            "affiliationName": "Valley Vision Associates, LLP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2201 W Dolarway Rd",
            "city": "Ellensburg",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989268228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

Verify at the official NPI Registry.