Patrick Gerard Squires, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3073TX Issued in WA

Practice address

405 32ND St
Ste. 103
Bellingham, WA 98225-0951

Phone

(360) 734-6464

Fax

(360) 733-5585

NPI assigned

Nov 6, 2006

Last updated

Oct 30, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Binyon Vision Bellingham PLLC

  dba Binyon Vision Center

  • Optometrist
  • Bellingham, WA
  • NPI 1265107114
  Medicare reassignment NPD
• Blue Wave Eye Doctors Professional Limited Liability Company

  • Optometrist
  • Everett, WA
  • NPI 1053060475
  Medicare reassignment NPD
• Neighborcare Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1578593562
  Medicare reassignment NPD
• Patrick Squires OD and Associates, Inc.

  dba Eye Associates

  • Optometrist
  • Bellingham, WA
  • NPI 1760607071
  NPD (past) Authorized official
• Binyon Optometrists, Inc .PS

  • Optometrist
  • Bellingham, WA
  • NPI 1245412014
  NPD
• Blue Wave Eye Doctors Professional Limited Liability Company

  dba Visionworks Doctors Optometry

  • Eyewear Supplier
  • Olympia, WA
  • NPI 1902608755
  NPD
• Neighborcare Health

  dba Neighborcare Health at Lincoln High School

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1275187429
  NPD
• Neighborcare Health

  dba Neighborcare Health at Rainier Beach

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1275567539
  NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1114096146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29317",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982281317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 32ND ST",
            "address_2": "STE. 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982250951",
            "telephone_number": "360-734-6464",
            "fax_number": "360-733-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "PATRICK",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3073TX",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "3073TX",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015972",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "GAB16225",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "74309",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "130706",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Jo Sproule, PT
• Sprouts NW LLC
• Spyglass Optik, P.S.
• Squalicum Surgical Associates, PLLC
• Eileen Mary Squires, OTRL
• Tibursious Ssendawula
• SSM Evergreen Enterprises, Inc. (Right at Home Northwest)
• Joseph Lester Brent St Clair
• St Joseph Hospital (Northwest Regional Laboratory)
• Shannon Laree St. Clair, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.